Basic Information
| Provider Information | |||||||||
| NPI: | 1508903865 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | THIRUMURTHI | ||||||||
| FirstName: | KOKILA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2450 OAK HILL CIR | ||||||||
| Address2: | APT. 2425 | ||||||||
| City: | FORT WORTH | ||||||||
| State: | TX | ||||||||
| PostalCode: | 761099508 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8177050975 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 7800 OAKMONT BLVD | ||||||||
| Address2: | |||||||||
| City: | FORT WORTH | ||||||||
| State: | TX | ||||||||
| PostalCode: | 761324203 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8173460094 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/30/2007 | ||||||||
| LastUpdateDate: | 02/05/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | M2838 | TX | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.