Healthcare Provider Details

I. General information

NPI: 1902018922
Provider Name (Legal Business Name): PARMBIR SHALINI BHANGOO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PARMBIR SHALINI BHANGOO M.D.

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 10/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3537 S I-35 E STE. 207
DENTON TX
76210-6800
US

IV. Provider business mailing address

220 PATRICIA LN
HIGHLAND VILLAGE TX
75077-7176
US

V. Phone/Fax

Practice location:
  • Phone: 940-565-1222
  • Fax: 940-565-1220
Mailing address:
  • Phone: 214-684-9462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberM5634
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: