Provider Demographics
NPI:1104264845
Name:OZARKAR, TEJAS VASANT (MD)
Entity type:Individual
Prefix:
First Name:TEJAS
Middle Name:VASANT
Last Name:OZARKAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 251707
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-1707
Mailing Address - Country:US
Mailing Address - Phone:972-596-1059
Mailing Address - Fax:972-612-5410
Practice Address - Street 1:8080 INDEPENDENCE PKWY STE 110
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-4004
Practice Address - Country:US
Practice Address - Phone:972-596-1059
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-04
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10059956207LP2900X
PAMT204706208100000X
TXR6648208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine