Jipson Pillaveettil Joseph Valid NPI
Individual provider · Registered Nurse · Stafford, TX
- NPI
- 1427469568
- Type
- Individual (Type 1)
- Primary specialty
- Registered Nurse
- Specialty group
- Nursing Service Providers
- Taxonomy code
- 163W00000X
- License number
- 825513 (TX)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2014-05-12
- Last updated
- 2014-05-12
Practice location
717 Stafford Springs Ave
Stafford, TX 77477-5562
(847) 929-9226