Individual
JIJI BALU ZACHARIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
4141 SOUTHWEST FWY, HOUSTON, TX 77027-7313
(713) 662-0217
Mailing address
11435 ENGLISH ROSE TRL, MISSOURI CITY, TX 77459-7069
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP132589
TX
Other
Enumeration date
05/24/2017
Last updated
05/24/2017
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