Healthcare Provider Details

I. General information

NPI: 1548228125
Provider Name (Legal Business Name): JHARANA SHRESTHA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 SANTA FE DR
WEATHERFORD TX
76086-5864
US

IV. Provider business mailing address

716 E ANDERSON ST STE 102
WEATHERFORD TX
76086-5709
US

V. Phone/Fax

Practice location:
  • Phone: 817-759-7000
  • Fax: 817-759-7027
Mailing address:
  • Phone: 817-341-7246
  • Fax: 817-341-7245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberE3935
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberK8490
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: