MEDICARE: LAXMAN BHATIA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	E8331	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235219270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAXMAN BHATIA MD

Provider Business Mailing Address
First Line	:	4300 CITY POINT DR STE 201
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-8338
Country	:	US
Telephone Number	:	817-284-8222
Fax Number	:	817-595-5718

Provider Business Practice Location Address
First Line	:	4300 CITY POINT DR
Second Line	:	SUITE 200
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-8380
Country	:	US
Telephone Number	:	817-255-1940
Fax Number	:	817-255-1977

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	05/11/2021

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Directions to “ LAXMAN BHATIA MD” Practice Location

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