Healthcare Provider Details

I. General information

NPI: 1487651691
Provider Name (Legal Business Name): KALMAN S NARAYAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2005
Last Update Date: 04/30/2008
Certification Date:
Deactivation Date: 03/20/2006
Reactivation Date: 05/25/2006

III. Provider practice location address

813 HEMPHILL ST
FORT WORTH TX
76104-3108
US

IV. Provider business mailing address

813 HEMPHILL ST
FORT WORTH TX
76104-3108
US

V. Phone/Fax

Practice location:
  • Phone: 817-336-9055
  • Fax: 817-877-4943
Mailing address:
  • Phone: 817-336-9055
  • Fax: 817-877-4943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberE5868
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: