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Nibu Jacob Malaickal, REEGT,RPSGT,RNCST
Sleep Disorder Diagnostic Clinic/Center in Coppell, Texas
NPI 1578033254

Nibu Jacob Malaickal is a Sleep Disorder Diagnostic Clinic/Center based in Coppell, TX and is specialized in Sleep Disorder Diagnostic. Nibu Jacob Malaickal practices in Coppell, TX and has the professional credentials of REEGT,RPSGT,RNCST. The NPI Number for Nibu Jacob Malaickal is 1578033254 and holds a License No. 138 (Texas).

The current practice location address for Nibu Jacob Malaickal is 304 S Coppell Rd, Coppell, TX and can be reached out via phone at 214-686-9393.

Location: 304 S Coppell Rd, Coppell, TX, 75019-2417
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578033254
Provider Name
Nibu Jacob Malaickal
Credential
REEGT,RPSGT,RNCST
Provider Entity Type
Individual
Gender
Male
Address
304 S Coppell Rd, Coppell, TX, 75019-2417
Phone Number
214-686-9393
Fax Number
Provider Enumeration Date
11/26/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
304 S Coppell Rd
City
Coppell
State
Texas
Zip
75019-2417
Phone Number
214-686-9393
Fax Number
person
Provider Business Mailing Address Details
Address
304 S Coppell Rd
City
Coppell
State
Texas
Zip
75019-2417
Phone Number
214-686-9393
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
EEG
Taxonomy
246ZE0500X
License No.
16863 ()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
Electroneurodiagnostic
Taxonomy
246ZE0600X
License No.
878 ()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Sleep Disorder Diagnostic
Taxonomy
261QS1200X
License No.
4499 ()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Hospital Units
Classification
Epilepsy Unit
Speciality
-
Taxonomy
273100000X
License No.
138 ()
Definition
An Epilepsy Unit is a distinct unit of a hospital that provides services that may include observation, urgent care, diagnostic testing, treatment, and medication management for patients with seizure disorders.
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