Individual
MAYUR BHAKTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 W NORTHGATE DR, IRVING, TX 75062-2650
(972) 255-4460
Mailing address
463 FOX RIDGE DR, PRINCETON, TX 75407-2951
(325) 200-2866
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
2144643
TX
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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