MR. Koshy Vellavoor Jose, APRN-CNP, FNP-C

NPI #1083212732 in Lufkin, Texas

Provider Information

NPI Number
1083212732
Entity Type
Individual
Name
MR. Koshy Vellavoor Jose, APRN-CNP, FNP-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
APRN-CNP, FNP-C
Enumeration Date
Oct 14, 2020
Last Updated
Oct 14, 2020

Practice Location

Address
207 HEATHER ST
City
Lufkin
State
Texas
ZIP Code
75904-4845
Phone
(936) 465-0396

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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