RAJENDRA SINGH CHOUHAN MD
Radiology at 12 Ave, Fort Worth, TX

License number
Texas R29206
Category
Radiology
Type
Diagnostic Radiology
Owner
Name: DR. RAJENDRA SINGH CHOUHAN MD
Title: OWNER
Phone: (817) 870-4800
Address
Address
12Th Ave SUITE 180, Fort Worth, TX 76104
National Provider ID: 1750521860
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RAJENDRA SINGH CHOUHAN, M.D. PA

Arlington, TX  -  Fort Worth, TX

Status:
Inactive
Doing business as:
Rajendra Singh Chouhan, M.D. PA
Registration:
Jan 6, 1982
Addresses:
615 Matlock Ctr Cir, Arlington, TX 76015 (Mailing)
1650 W Rosedale St, Fort Worth, TX 76104
1001 12 Ave, Fort Worth, TX 76104
1115 Pennsylvania Ave, Fort Worth, TX 76104
State ID:
0080810803
Business type:
Professional Association
Member , Secretary, Treasurer, Vice-President, Director, President:
Rajendra Singh Chouhan Member , Secretary, Treasurer, Vice-President, Director, President, inactive
Agent:
Rajendra S Chouhan,1115 Pennsylvania Ave, Fort Worth, TX 76104 (Physical)
TIN:
32036042631

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