PREMA MANJUNATH

FORT WORTH, TX
NPI1013962745
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: TX  H3699)
Additional Taxonomies2084F0202X Psychiatry & Neurology, Forensic Psychiatry
(Licence: TX  H3699)
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: TX  H3699)
Enumeration Date2006-05-23
Last Update Date2016-08-09
Business Address
-- PREMA MANJUNATH MD
855 MONTGOMERY ST
FORT WORTH, TX 76107-2553
Phone number: 817-927-3638
Mailing Address
-- PREMA MANJUNATH MD
PO BOX 99335
FORT WORTH, TX 76199-0335
Phone number: 817-927-3638