Jerry Kulangara John

NPI #1285377457 in Bedford, Texas

Provider Information

NPI Number: 1285377457
Entity Type: Individual
Name: Jerry Kulangara John
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Apr 15, 2022
Last Updated: Aug 18, 2023

Practice Location

Address: 1615 HOSPITAL PKWY STE 306
City: Bedford
State: Texas
ZIP Code: 76022-5936
Phone: (512) 628-0465

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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