NIDISH JOSE

FORT WORTH, TX
NPI1104348903
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: TX  789098)
Enumeration Date2017-07-13
Last Update Date2021-07-30
Business Address
NIDISH JOSE AGNP-C
3044 HIDDEN VALLEY DR
FORT WORTH, TX 76177-2716
Phone number: 469-844-7072
Mailing Address
NIDISH JOSE AGNP-C
3044 HIDDEN VALLEY DR
FORT WORTH, TX 76177-2716
Phone number:
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