VANDANA MALL

FORT WORTH, TX
NPI1306344791
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: TX  802472)
Enumeration Date2018-01-31
Last Update Date2018-01-31
Business Address
VANDANA MALL AGNP
1307 8TH AVE STE 506
FORT WORTH, TX 76104-4142
Phone number: 817-332-6092
Mailing Address
VANDANA MALL AGNP
P.O. BOX 961205
FORT WORTH, TX 76161-1205
Phone number: 817-740-8400
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