Healthcare Provider Details

I. General information

NPI: 1699196469
Provider Name (Legal Business Name): SACHIN SHRESTHA FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/22/2013
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 MATLOCK RD STE 100
ARLINGTON TX
76002-4805
US

IV. Provider business mailing address

8200 MATLOCK RD STE 100
ARLINGTON TX
76002-4805
US

V. Phone/Fax

Practice location:
  • Phone: 817-473-7197
  • Fax: 817-473-7198
Mailing address:
  • Phone: 817-473-7197
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number731226
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: