Individual
JIPSON PILLAVEETTIL JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
717 STAFFORD SPRINGS AVE, STAFFORD, TX 77477-5562
(847) 929-9226
Mailing address
717 STAFFORD SPRINGS AVE, STAFFORD, TX 77477-5562
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.354286
IL
163W00000X
Registered Nurse
Primary
825513
TX
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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