Individual
JAYASREE KRISHNANKUTTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1420 W WELLS BRANCH PKWY, SUITE #450, PFLUGERVILLE, TX 78660-3101
(512) 806-0201
Mailing address
8585 SPICEWOOD SPRINGS RD, APT 1014, AUSTIN, TX 78759-6863
(408) 348-0987
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
51603
CA
363A00000X
Physician Assistant
Primary
PA10762
TX
Other
Enumeration date
05/24/2014
Last updated
12/22/2016
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