Organization
PRASANNA K.N.KUMAR M.D. F.R.C.S. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRASANNA KUMAR M.D. (PRESIDENT)
(817) 589-2517
Entity
Organization
Contact information
Practice address
3813 DIAMOND LOCH W, FORT WORTH, TX 76180-8729
(817) 589-2517
(817) 284-7021
Mailing address
3813 DIAMOND LOCH W, FORT WORTH, TX 76180-8729
(817) 589-2517
(817) 284-7021
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
F6274
TX
314000000X
Skilled Nursing Facility
F6274
TX
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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