Individual
JAISON SANTHOSH JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4650 PRESIDENT GEORGE BUSH TPKE STE 210, SACHSE, TX 75048-4980
(214) 624-6596
(214) 666-5024
Mailing address
4650 PRESIDENT GEORGE BUSH TPKE STE 210, SACHSE, TX 75048-4980
(214) 624-6596
(214) 666-5024
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R7236
TX
207RG0100X
Gastroenterology Physician
Primary
R7236
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10054231
TX
Other
Enumeration date
07/01/2015
Last updated
02/05/2026
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