Individual
MD KALAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1212 REDCLOUD DR, FORT WORTH, TX 76120-3332
(817) 655-5568
Mailing address
1212 REDCLOUD DR, FORT WORTH, TX 76120-3332
(817) 655-5568
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
23722203
TX
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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