Individual
VIJAY JAMPALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2407 S CLEAR CREEK RD, KILLEEN, TX 76549
(254) 628-0246
(254) 200-4090
Mailing address
PO BOX 938, KILLEEN, TX 76540-0938
(254) 634-6999
(254) 200-4099
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
H4970
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00D65L
BLUE CROSS BLUE SHIELD
TX
01
—
097895901
SUPERIOR HEALTH CHIPS
TX
05
—
097895901
—
TX
01
—
742533636
HUMANA/MILITARY-TRICARE
TX
01
—
90017
SCOTT & WHITE HEALTH
TX
01
—
P00080993
MEDICARE RAILROAD
TX
Enumeration date
11/29/2005
Last updated
07/11/2008
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