Organization
BRAJESH BHATLA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAJESH BHATLA M.D. (PHYSICIAN)
(956) 412-1125
Entity
Organization
Contact information
Practice address
4402 E SESAME DR, HARLINGEN, TX 78550-9290
(956) 412-1125
(956) 440-8854
Mailing address
PO BOX 2835, HARLINGEN, TX 78551-2835
(956) 412-1125
(956) 440-8854
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031LW
BC/BS
TX
05
—
166456701
—
TX
Enumeration date
05/26/2006
Last updated
05/19/2008
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