Healthcare Provider Details

I. General information

NPI: 1487408340
Provider Name (Legal Business Name): AMNA FAROOQ CHAUDHRY M.B.B.S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2024
Last Update Date: 03/03/2025
Certification Date:
Deactivation Date: 12/04/2024
Reactivation Date: 03/03/2025

III. Provider practice location address

1600 HOSPITAL PARKWAY
BEDFORD TX
76022
US

IV. Provider business mailing address

1600 HOSPITAL PARKWAY
BEDFORD TX
76022
US

V. Phone/Fax

Practice location:
  • Phone: 817-848-2993
  • Fax: 682-212-0901
Mailing address:
  • Phone: 817-848-4000
  • Fax: 682-212-0901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: