Individual
KANTI L AGRAWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 CLARA BARTON BLVD STE 150, GARLAND, TX 75042-5752
(972) 487-1117
(972) 494-2082
Mailing address
530 CLARA BARTON BLVD STE 150, GARLAND, TX 75042-5752
(972) 487-1117
(972) 494-2082
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
F8388
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134242008
—
TX
01
—
8B8690
BCBS
TX
Enumeration date
12/15/2005
Last updated
10/18/2021
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