Organization
NIRMAL S JAYASEELAN M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIRMAL SAMUEL JAYASEELAN M.D. (SURGEON)
(972) 331-1111
Entity
Organization
Contact information
Practice address
11970 N CENTRAL EXPY, SUITE 670, DALLAS, TX 75243-3768
(972) 331-1111
Mailing address
9221 SUNNYBROOK LN, DALLAS, TX 75220-3949
(214) 361-2052
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
K8233
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030421401
—
TX
Enumeration date
01/04/2012
Last updated
01/04/2012
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