Basic Information
| Provider Information | |||||||||
| NPI: | 1407096647 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BESETTY | ||||||||
| FirstName: | RAMASHESAI | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1300 W TERRELL AVE STE K230 | ||||||||
| Address2: | |||||||||
| City: | FORT WORTH | ||||||||
| State: | TX | ||||||||
| PostalCode: | 761042820 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8172504906 | ||||||||
| FaxNumber: | 8172501815 | ||||||||
| Practice Location | |||||||||
| Address1: | 1300 W TERRELL AVE STE K230 | ||||||||
| Address2: | |||||||||
| City: | FORT WORTH | ||||||||
| State: | TX | ||||||||
| PostalCode: | 761042820 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8172504906 | ||||||||
| FaxNumber: | 8172501815 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/28/2009 | ||||||||
| LastUpdateDate: | 12/07/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MD440354 | PA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | R0839 | TX | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.