MANJUSHREE GAUTAM

FORT WORTH, TX
NPI1831172725
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: TX  N6309)
Additional Taxonomies207RI0008X Internal Medicine, Hepatology
(Licence: AZ  33778)
207RT0003X Internal Medicine, Transplant Hepatology
(Licence: TX  N6309)
Enumeration Date2005-11-23
Last Update Date2015-07-21
Business Address
Dr. MANJUSHREE GAUTAM M.D.
1250 8TH AVE SUITE 515
FORT WORTH, TX 76104-4124
Phone number: 817-922-4675
Mailing Address
Dr. MANJUSHREE GAUTAM M.D.
1250 8TH AVE SUITE 515
FORT WORTH, TX 76104-4124
Phone number: 817-922-4675