Basic Information
| Provider Information | |||||||||
| NPI: | 1902472475 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HIRAPARA | ||||||||
| FirstName: | BHAVIK | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 304 HAWTHORNE DR | ||||||||
| Address2: | |||||||||
| City: | MURPHY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750943526 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4697345034 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1441 N BECKLEY AVE | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752031201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2149478181 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/03/2021 | ||||||||
| LastUpdateDate: | 06/10/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/10/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | BP10074795 | TX | N | Allopathic & Osteopathic Physicians | Internal Medicine | 390200000X | BP10074795 | TX | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.