| Doctor Name: | BHAVANI MYSORE SATYANARAYANA |
| NPI Number: | 1275979189 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | G1185 |
| Business Practice Address: | 11803 South Fwy Ste 103 Burleson, TX - 760287012 |
| Business Phone Number: | 8172939552 |
| Business Fax Number: | 8175515080 |
| Mailing Address: | 11803 South Fwy, Ste 103 BURLESON |
| State: | TX |
| Postal Code: | 760287012 |
| Phone Number: | 8172939552 |
| Fax Number: | 8175515080 |
| NPI Enumeration Date: | 05/18/2013 |
| NPI Last Update Date: | 05/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G1185 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |