Most Relevant Information
Provider Data
| NPI Number: | 1003523119 |
| Provider Name: | RAJKUMAR SOMASUNDARAM FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 1095776 |
Most Important Dates
| Enumeration Date: | 10/31/2022 |
| Last Updated: | 10/31/2022 |
Provider Practice Location
6100 HARRIS PKWY
FORT WORTH
TX
761324101
Practice Location Phone/Fax
| Phone: | 4906817820 |
| Fax: |
Provider Mailing Location
6100 HARRIS PKWY
FORT WORTH
TX
761324101
Provider Mailing Phone/Fax
| Phone: | 4906817820 |
| Fax: |