MR. Jaison Ninan, PA-C

NPI #1689244675 in Decatur, Texas

Provider Information

NPI Number: 1689244675
Entity Type: Individual
Name: MR. Jaison Ninan, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 30, 2021
Last Updated: Sep 3, 2021

Practice Location

Address: 800 MEDICAL CENTER DR STE C
City: Decatur
State: Texas
ZIP Code: 76234-3844
Phone: (940) 626-2110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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