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Jeevan Thamban
Primary Care Nurse Practitioner in Temple, Texas
NPI 1417512781

Jeevan Thamban is a Primary Care Nurse Practitioner based in Sugar Land, TX and is specialized in Primary Care. Jeevan Thamban practices in Temple, TX. The NPI Number for Jeevan Thamban is 1417512781 and holds a License No. AP141333 (Texas).

The current practice location address for Jeevan Thamban is 1901 Veterans Memorial Dr, Temple, TX and can be reached out via phone at 254-778-4811.

Location: 1901 Veterans Memorial Dr, Temple, TX, 77498-1834
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417512781
Provider Name
Jeevan Thamban
Credential
Provider Entity Type
Individual
Gender
Male
Address
1901 Veterans Memorial Dr, Temple, TX, 77498-1834
Phone Number
254-778-4811
Fax Number
Provider Enumeration Date
05/02/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1901 Veterans Memorial Dr
City
Temple
State
Texas
Zip
76504-7451
Phone Number
254-778-4811
Fax Number
person
Provider Business Mailing Address Details
Address
1901 Veterans Memorial Dr
City
Temple
State
Texas
Zip
76504-7451
Phone Number
254-778-4811
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
AP141333 (Texas)
Definition
Definition to come...
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