Individual
GURPREET S BAWEJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 W TERRELL AVE, #500, FT WORTH, TX 76104-2820
(817) 252-5000
(817) 252-5060
Mailing address
1300 W TERRELL AVE, #500, FT WORTH, TX 76104-2820
(817) 252-5000
(817) 252-5060
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
M6042
TX
207RI0011X
Interventional Cardiology Physician
Primary
M6042
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191851802
—
TX
Enumeration date
05/02/2007
Last updated
08/31/2011
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