MEDICARE: ANGLENA BHATARA NP

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	1103893	TX

General Provider Information

NPI Number	:	1679270607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGLENA BHATARA NP

Provider Business Mailing Address
First Line	:	9015 GARLAND RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75218-3920
Country	:	US
Telephone Number	:	214-747-8800
Fax Number	:	214-747-8801

Provider Business Practice Location Address
First Line	:	9015 GARLAND RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75218-3920
Country	:	US
Telephone Number	:	214-747-8800
Fax Number	:	214-747-8801

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

Provider Enumeration Date	:	02/09/2023
Last Update Date	:	01/14/2026

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Directions to “ ANGLENA BHATARA NP” Practice Location

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