Doctor Name: | DR. USHA WALIA |
NPI Number: | 1437252772 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D |
License Number: | J0719 |
Business Practice Address: | 2719 Northrdge Dr Suite 107 Bedford, TX - 760214142 |
Business Phone Number: | 8175778580 |
Business Fax Number: | 8172828141 |
Mailing Address: | 2719 Northridge Dr, Suite 107 BEDFORD |
State: | TX |
Postal Code: | 760214142 |
Phone Number: | 8175778580 |
Fax Number: | 8172828141 |
NPI Enumeration Date: | 09/05/2006 |
NPI Last Update Date: | 03/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | J0719 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |