Individual
DR. BUSHRA KANWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4115 E LANCASTER AVE, FORT WORTH, TX 76103-3614
(817) 796-7370
Mailing address
PO BOX 746079, ATLANTA, GA 30374-6079
(773) 352-1515
(312) 929-0373
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
U4235
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2019
Last updated
04/28/2026
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