Individual
JYOTI BARAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6613 PROVIDENCE RD, COLLEYVILLE, TX 76034-8229
(650) 580-2208
Mailing address
6613 PROVIDENCE RD, COLLEYVILLE, TX 76034-8229
(650) 580-2208
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
TX
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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