TIJU KUNJUKUNJUKUTTYTHARAKAN

DALLAS, TX
NPI1427603869
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  AP142477)
Enumeration Date2019-08-02
Last Update Date2019-08-02
Business Address
TIJU KUNJUKUNJUKUTTYTHARAKAN NP
6901 SNIDER PLZ STE 130
DALLAS, TX 75205-5649
Phone number: 888-212-4243
Mailing Address
TIJU KUNJUKUNJUKUTTYTHARAKAN NP
200 RUTHERFORD AVE
WYLIE, TX 75098-5927
Phone number: