Individual
AMBIKA K NAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1617 HEMPHILL STREET, FORTWORTH, TX 76104-7911
(817) 927-1395
(817) 927-3603
Mailing address
1227 WOODSEY CT, SOUTHLAKE, TX 76092-9758
(817) 416-1467
(214) 540-6627
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
N1794
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206145901
—
TX
01
—
8L17376
MEDICARE PROVIDER NUMBER
TX
Enumeration date
05/24/2007
Last updated
06/19/2013
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