NPI 1013962745

Prema Manjunath, MD

Practitioner Child & Adolescent Psychiatry Physician Fort Worth, TX

Practice location

Address: 855 Montgomery St, Fort Worth, TX 76107-2553
Phone: (817) 927-3638
Fax: (817) 923-8769
Mailing address: PO Box 99335, Fort Worth, TX 76199-0335

Registered specialties (3)

Child & Adolescent Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0804X Licence H3699 (TX)

Other Psychiatry & Neurology providers in Texas →

Forensic Psychiatry Physician

Allopathic & Osteopathic Physicians Taxonomy 2084F0202X Licence H3699 (TX)

Psychiatry Physician

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence H3699 (TX)

Registry record

NPI: 1013962745
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 May 2006
Record last updated: 9 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.