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1205478427
JISHA TOM
HOUSTON, TX
NPI
1205478427
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Former Name
JISHA MATHEWS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: TX AP141184)
Enumeration Date
2019-10-09
Last Update Date
2020-02-10
Business Address
JISHA TOM NP
1515 HOLCOMBE BLVD
HOUSTON, TX 77030-4000
Phone number: 713-792-6161
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Mailing Address
JISHA TOM NP
PO BOX 4439
HOUSTON, TX 77210-4439
Phone number: 713-792-6161
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