Healthcare Provider Details

I. General information

NPI: 1912562935
Provider Name (Legal Business Name): SARASWATI BHANDARI SAPKOTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2019
Last Update Date: 05/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10017 BELLE PRAIRIE TRL
FORT WORTH TX
76177-1822
US

IV. Provider business mailing address

10017 BELLE PRAIRIE TRL
FORT WORTH TX
76177-1822
US

V. Phone/Fax

Practice location:
  • Phone: 713-518-6732
  • Fax:
Mailing address:
  • Phone: 713-518-6732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number947924
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: