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Individual

GURPREET S DHALIWAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11803 SOUTH FWY, STE 210, BURLESON, TX 76028-7012
(817) 551-6000
(817) 551-6008
Mailing address
11803 SOUTH FWY, STE 210, BURLESON, TX 76028-7012
(817) 551-6000
(817) 551-6008

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A45059
CA
2084N0400X
Neurology Physician
N0728
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A450590
CA
01
46-1012160
TX ID
TX
Enumeration date
07/17/2006
Last updated
01/24/2013
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