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Individual

JOLLY C KURIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP131655 / RN 739185
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
368616401
TX
01
8461MA
BCBS
TX
Enumeration date
09/01/2016
Last updated
05/05/2017
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