TSHIALA BUPOLA

FORT WORTH, TX
NPI1770151862
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX  1044102)
Enumeration Date2021-06-15
Last Update Date2021-06-15
Business Address
TSHIALA BUPOLA PMHNP
2924 VICKSBURG LN
FORT WORTH, TX 76123-1627
Phone number: 518-491-9384
Mailing Address
TSHIALA BUPOLA PMHNP
2924 VICKSBURG LN
FORT WORTH, TX 76123-1627
Phone number: 518-491-9384
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