Individual
ISHANI THAKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1615 HOSPITAL PKWY STE 202, BEDFORD, TX 76022-5935
(817) 786-8686
Mailing address
1615 HOSPITAL PKWY STE 202, BEDFORD, TX 76022-5935
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085.012250
IL
363A00000X
Physician Assistant
Primary
—
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
MO
Other
Enumeration date
04/24/2023
Last updated
07/27/2026
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