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Jaya Sanjo, NP
Gerontology Nurse Practitioner in Houston, Texas
NPI 1629574967

Jaya Sanjo is a Gerontology Nurse Practitioner based in Houston, TX and is specialized in Gerontology. Jaya Sanjo practices in Houston, TX and has the professional credentials of NP. The NPI Number for Jaya Sanjo is 1629574967 and holds a License No. AP136907 (Texas).

The current practice location address for Jaya Sanjo 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
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Provider Profile Details
NPI Number
1629574967
Provider Name
Jaya Sanjo
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
04/04/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
411025602 01 TX MEDICAID-CSHCN
411025601 05 TX
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.
AP136907 (Texas)
Definition
Definition to come...
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