Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | ||
Y | 103T00000X | Psychologist |
NPI | 1003214636 |
---|---|
Provider Name | Dr. Rushina Harishkumar Bhatt |
First Address | Euless, TX 76040-4985 |
Second Address | Euless, TX 76040-7170 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2014 |
Last Update Date | 15/11/2016 |