Individual
DR. IVANSHU NAVINPRAKASH JAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
TERRELL STATE HOSPITAL, 1200 E BRIN ST, TERRELL, TX 75160
(972) 563-6452
Mailing address
1200 E BRIN ST, TERRELL, TX 75160-2938
(972) 563-6452
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
R7233
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2014
Last updated
07/08/2019
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