Organization
EVERSHINE MED PLLC
Active
Other names
EvershineMed Bedford
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAHIM RUKNUDIN SEWANI DO, PHD (MANAGING MEMBER)
(630) 853-7049
Entity
Organization
Contact information
Practice address
1701 FOREST RIDGE DR, BEDFORD, TX 76022-7959
(817) 545-7700
(817) 545-2298
Mailing address
1701 FOREST RIDGE DR, BEDFORD, TX 76022-7959
(817) 545-7700
(817) 545-2298
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
06/21/2024
Last updated
09/09/2024
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