person
Jisha Tom, NP
Gerontology Nurse Practitioner in Houston, Texas
NPI 1205478427

Jisha Tom is a Gerontology Nurse Practitioner based in Houston, TX and is specialized in Gerontology. Jisha Tom practices in Houston, TX and has the professional credentials of NP. The NPI Number for Jisha Tom is 1205478427 and holds a License No. AP141184 (Texas).

The current practice location address for Jisha Tom is 1515 Holcombe Blvd, Houston, TX and can be reached out via phone at 713-792-6161.

Location: 1515 Holcombe Blvd, Houston, TX, 77210-4439
person
Provider Profile Details
NPI Number
1205478427
Provider Name
Jisha Tom
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1515 Holcombe Blvd, Houston, TX, 77210-4439
Phone Number
713-792-6161
Fax Number
Provider Enumeration Date
10/09/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
405838001 05 TX
405838002 01 TX MEDICAID-CSHCN
8LZ698 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
1515 Holcombe Blvd
City
State
Zip
77030-4000
Phone Number
713-792-6161
Fax Number
person
Provider Business Mailing Address Details
Address
1515 Holcombe Blvd
City
State
Zip
77030-4000
Phone Number
713-792-6161
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
AP141184 (Texas)
Definition
Definition to come...
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