Organization
DIVYATISH PRIMARY CARE HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARUN JAIN MD (OWNER)
(361) 576-3680
Entity
Organization
Contact information
Practice address
601 E SAN ANTONIO ST STE 304W, VICTORIA, TX 77901-6040
(361) 576-3680
(361) 576-4219
Mailing address
PO BOX 3685, VICTORIA, TX 77903-3685
(361) 576-3680
(361) 576-4219
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L8086
TX
Other
Enumeration date
05/12/2008
Last updated
05/12/2008
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