Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | Q2249 | TX |
NPI | 1043538234 |
---|---|
Provider Name | Jyoti Bharti |
First Address | Carrollton, TX 75007-1525 |
Second Address | Carrollton, TX 75007-1525 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2010 |
Last Update Date | 02/09/2015 |