Individual
DAVID PRABHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2122
(817) 250-2000
Mailing address
208 WILLOWLAKE DR, LITTLE ELM, TX 75068-5096
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/26/2026
Last updated
03/26/2026
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