MEDICARE: RUPINDER KAUR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	1201590	TX

General Provider Information

NPI Number	:	1053118562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUPINDER KAUR

Provider Business Mailing Address
First Line	:	5117 BREEZEWIND LN
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76123-6013
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5117 BREEZEWIND LN
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76123-6013
Country	:	US
Telephone Number	:	817-219-8571
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2025
Last Update Date	:	07/02/2026

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Directions to “ RUPINDER KAUR ” Practice Location

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