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1023522653
JISHA GEOFFREY THEKKUMTHARA
HOUSTON, TX
NPI
1023522653
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: TX AP134651)
Enumeration Date
2017-11-17
Last Update Date
2022-08-08
Business Address
JISHA GEOFFREY THEKKUMTHARA NP
1515 HOLCOMBE BLVD
HOUSTON, TX 77030-4000
Phone number: 713-792-6161
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Mailing Address
JISHA GEOFFREY THEKKUMTHARA NP
PO BOX 4439
HOUSTON, TX 77210-4439
Phone number: 713-792-2991
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