Individual
JINCY THANKACHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14954 SUGAR SANDS DR, SUGAR LAND, TX 77498-5034
(832) 955-8175
Mailing address
14954 SUGAR SANDS DR, SUGAR LAND, TX 77498-5034
(832) 955-8175
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1042600
TX
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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