Provider Demographics
NPI:1730632324
Name:DR A R BHANDARI M D P A
Entity type:Organization
Organization Name:DR A R BHANDARI M D P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANANTHA
Authorized Official - Middle Name:R
Authorized Official - Last Name:BHANDARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:940-325-0789
Mailing Address - Street 1:102 HOLLY HILL RD
Mailing Address - Street 2:
Mailing Address - City:MINERAL WELLS
Mailing Address - State:TX
Mailing Address - Zip Code:76067-5042
Mailing Address - Country:US
Mailing Address - Phone:940-325-0789
Mailing Address - Fax:940-325-0780
Practice Address - Street 1:102 HOLLY HILL RD
Practice Address - Street 2:
Practice Address - City:MINERAL WELLS
Practice Address - State:TX
Practice Address - Zip Code:76067-5042
Practice Address - Country:US
Practice Address - Phone:940-325-0789
Practice Address - Fax:940-325-0780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-29
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty