LONE STAR ALLERGY, ASTHMA, AND IMMUNOLOGY
Ambulatory Health at 8 Ave, Fort Worth, TX

License number
Texas N2791
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: DR. MUDITA KIRIT SHAH M.D.
Title: MANAGER
Phone: (817) 810-9800
Address
Address
8Th Ave SUITE 323, Fort Worth, TX 76104
National Provider ID: 1992015465
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about LONE STAR ALLERGY, ASTHMA, AND IMMUNOLOGY at bizstanding.com

LONE STAR ALLERGY, ASTHMA, AND IMMUNOLOGY, PLLC

Fort Worth, TX

Industry:
Medical Doctor's Office
Registration:
Jul 21, 2010
Addresses:
800 8 Ave STE 236, Fort Worth, TX 76104 (Mailing)
1550 W Rosedale St, Fort Worth, TX 76104
State ID:
0801296689
Business type:
Domestic Limited Liability Company (LLC)
Director, Owners:
Mudita K Shah (President, Principal, Director, Owner), 5400 Rome Ct, Arlington, TX 76017,Dar Shah (Director, Owner)
Agent:
Mudita Kirit Shah,800 8 Ave STE 236, Fort Worth, TX 76104 (Physical)
TIN:
32042281041

Ambulatory Health licenses in Texas










Other Doctors licenses in Texas