Individual
JERIL ANTHONY KANNAMPUZHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1902 HOSPITAL BLVD, GAINESVILLE, TX 76240-2007
(940) 612-8750
(940) 668-2663
Mailing address
1900 HOSPITAL BLVD, GAINESVILLE, TX 76240-2002
(940) 665-1751
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
955120
NY
208000000X
Pediatrics Physician
Primary
Q9840
TX
Other
Enumeration date
04/01/2014
Last updated
10/10/2023
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