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Individual

DR. SUDHEER M JAYAPRABHU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2717 SUMMERHILL RD, TEXARKANA, TX 75503-3957
(903) 792-1404
(903) 792-2681
Mailing address
2717 SUMMERHILL RD, TEXARKANA, TX 75503-3957
(903) 792-1404
(903) 792-2681

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L2351
TX
207V00000X
Obstetrics & Gynecology Physician
Primary
L2351
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
145699804
TX
Enumeration date
07/07/2005
Last updated
03/11/2026
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