Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 684437 | TX |
NPI | 1003233370 |
---|---|
Provider Name | Bilkish Chunara |
First Address | Irving, TX 75061-2219 |
Second Address | Irving, TX 75061-2219 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2014 |
Last Update Date | 25/03/2014 |