MRS. Thresiamma Idichandy, NURSE PRACTITIONER
NPI #1063422319 in Richardson, Texas
Provider Information
- NPI Number
- 1063422319
- Entity Type
- Individual
- Name
- MRS. Thresiamma Idichandy, NURSE PRACTITIONER
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NURSE PRACTITIONER
- Enumeration Date
- Aug 9, 2006
- Last Updated
- Oct 7, 2025
Practice Location
- Address
- 234 W CAMPBELL RD
- City
- Richardson
- State
- Texas
- ZIP Code
- 75080-3512
- Phone
- (972) 474-3221
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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