Provider Demographics
NPI:1902099237
Name:DEEPIKA BHARGAVA, M.D., P.A.
Entity Type:Organization
Organization Name:DEEPIKA BHARGAVA, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEEPKA
Authorized Official - Middle Name:
Authorized Official - Last Name:BHARGAVA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-892-0751
Mailing Address - Street 1:1800 TEAGUE DR
Mailing Address - Street 2:STE 212
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-2653
Mailing Address - Country:US
Mailing Address - Phone:903-892-0751
Mailing Address - Fax:903-892-9694
Practice Address - Street 1:1800 TEAGUE DR
Practice Address - Street 2:STE 212
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-2653
Practice Address - Country:US
Practice Address - Phone:903-892-0751
Practice Address - Fax:903-892-9694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM10232084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0023RMOtherBLUE SHIELD
TX179852201Medicaid
TX00W264Medicare PIN