Organization
EL PASO NEUROLOGY
Active
Organization
EL PASO NEUROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAI KUMAR M.D (PRESIDENT)
(903) 577-9533
Entity
Organization
Contact information
Practice address
301 W 18TH ST STE 102, MOUNT PLEASANT, TX 75455-2370
(903) 577-9533
(903) 577-9518
Mailing address
301 W 18TH ST STE 102, MOUNT PLEASANT, TX 75455-2370
(903) 577-9533
(903) 577-9518
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M1857
TX LICENSE
TX
Enumeration date
09/29/2006
Last updated
11/16/2007
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