Provider Demographics
NPI:1790713535
Name:KAUR, KASHMIR (NP)
Entity Type:Individual
Prefix:
First Name:KASHMIR
Middle Name:
Last Name:KAUR
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:LBJ FREEWAY
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243
Mailing Address - Country:US
Mailing Address - Phone:972-739-3097
Mailing Address - Fax:972-739-2673
Practice Address - Street 1:1645 N TOWN EAST BLVD
Practice Address - Street 2:SUITE 503
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-4158
Practice Address - Country:US
Practice Address - Phone:972-620-9111
Practice Address - Fax:972-620-9187
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX685267363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX173788401Medicaid
TX173788402Medicaid
TXS92720Medicare UPIN