Jency Vathikulam, D.O.

NPI #1790122562 in Forney, Texas

Provider Information

NPI Number: 1790122562
Entity Type: Individual
Name: Jency Vathikulam, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Jun 3, 2013
Last Updated: Apr 12, 2022

Practice Location

Address: 763 E US HIGHWAY 80 STE 240
City: Forney
State: Texas
ZIP Code: 75126-8677
Phone: (469) 800-3870

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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