Individual
MS. CHANDA KAUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3521 BURTS DR, FORT WORTH, TX 76244-7600
(817) 565-4708
Mailing address
3521 BURTS DR, FORT WORTH, TX 76244-7600
(817) 565-4708
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1009459
TX
363LP2300X
Primary Care Nurse Practitioner
1009459
TX
Other
Enumeration date
03/27/2021
Last updated
05/10/2023
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