Individual
JOHN VIJAY JAYACHANDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 JEROME ST STE 200, FORT WORTH, TX 76104-3940
(682) 268-6705
(682) 268-6706
Mailing address
PO BOX 6278, FORT WORTH, TX 76115-0278
(817) 568-5467
(817) 568-5474
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
L6078
TX
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
L6078
TX
Other
Enumeration date
12/14/2005
Last updated
01/27/2025
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