Most Relevant Information
Provider Data
| NPI Number: | 1003387853 |
| Provider Name: | TARJANI S MEHTA PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA12224 |
Most Important Dates
| Enumeration Date: | 12/05/2018 |
| Last Updated: | 04/09/2021 |
Provider Practice Location
6316 PRECINCT LINE RD STE A
HURST
TX
760542766
Practice Location Phone/Fax
| Phone: | 8176052504 |
| Fax: | 8176052505 |
Provider Mailing Location
PO BOX 99213
FORT WORTH
TX
761990213
Provider Mailing Phone/Fax
| Phone: | 6828851860 |
| Fax: | 6828851396 |