Organization
FORT WORTH INFECTIOUS DISEASE CONSULTANTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISHNA KANTH BOBBILI MD (OWNER)
(704) 877-4690
Entity
Organization
Contact information
Practice address
11803 SOUTH FWY STE 111, BURLESON, TX 76028-7028
(817) 349-9500
(817) 349-9501
Mailing address
11803 SOUTH FWY STE 111, BURLESON, TX 76028-7028
(817) 349-9500
(817) 349-9501
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
N5578
TX
Other
Enumeration date
09/16/2015
Last updated
01/03/2018
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