Organization
KANDASWAMY JAYARAJ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KANDASWAMY JAYARAJ MD (OWNER)
(409) 892-2111
Entity
Organization
Contact information
Practice address
3030 NORTH ST, #310, BEAUMONT, TX 77702-1433
(409) 892-2111
(409) 892-2173
Mailing address
PO BOX 12499, 3030 N ST #310, BEAUMONT, TX 77726-2499
(409) 892-2111
(409) 892-2173
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
L6963
TX
Other
Enumeration date
07/08/2005
Last updated
11/05/2007
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