SHAJI JOSEPH ELLIMUTTIL

PLANO, TX
NPI1760150981
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA14664)
Enumeration Date2021-09-01
Last Update Date2021-09-01
Business Address
Mr. SHAJI JOSEPH ELLIMUTTIL PA
1100 ALLIED DR
PLANO, TX 75093-5348
Phone number: 972-977-9301
Mailing Address
Mr. SHAJI JOSEPH ELLIMUTTIL PA
1900 KNIGHTSBRIDGE RD APT 5204
FARMERS BRANCH, TX 75234-1378
Phone number: 972-977-9301
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