Individual
AMISHA S BHAKTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7460 WARREN PKWY, SUITE 160, FRISCO, TX 75034-4169
(972) 668-5400
(972) 668-5401
Mailing address
7460 WARREN PKWY, SUITE 160, FRISCO, TX 75034-4169
(972) 668-5400
(972) 668-5401
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00663600
NJ
363A00000X
Physician Assistant
61074
CA
363A00000X
Physician Assistant
Primary
PA04713
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2035487-01
—
TX
05
—
2933475-01
—
TX
Enumeration date
09/12/2007
Last updated
05/05/2026
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