PRAKASH GAJERA

FORT WORTH, TX
NPI1013448240
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0204X Radiology, Vascular & Interventional Radiology
(Licence: TX  R9959)
Additional Taxonomies2085R0202X Radiology, Diagnostic Radiology
(Licence: TX  R9959)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-03-21
Last Update Date2023-05-18
Business Address
PRAKASH GAJERA
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104-2224
Phone number: 817-321-0404
Mailing Address
PRAKASH GAJERA
816 W CANNON ST
FORT WORTH, TX 76104-3146
Phone number: 817-321-0404