| Deepthi Parvataneni Md Pa | |
|
6913 Camp Bowie Blvd Ste 171 Fort Worth TX 76116-7165 | |
| (817) 731-6121 | |
| Not Available |
| Full Name | Deepthi Parvataneni Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 6913 Camp Bowie Blvd Ste 171, Fort Worth, Texas |
| Authorized Official Name and Position | Deepthi Parvataneni (MD) |
| Authorized Official Contact | 7406453798 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deepthi Parvataneni Md Pa Po Box 16524 Fort Worth TX 76162-0524 Ph: () - | Deepthi Parvataneni Md Pa 6913 Camp Bowie Blvd Ste 171 Fort Worth TX 76116-7165 Ph: (817) 731-6121 |
| NPI Number | 1679168546 |
|---|---|
| Provider Enumeration Date | 03/03/2021 |
| Last Update Date | 03/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679168546 | NPI | - | NPPES |
| 1730473935 | Other | TX | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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