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Dr. Sudheer M Jayaprabhu, MD
Specialist in Texarkana, Texas
NPI 1639176555

Sudheer M Jayaprabhu is a Specialist based in Texarkana, TX. Sudheer M Jayaprabhu practices in Texarkana, TX and has the professional credentials of MD. The NPI Number for Sudheer M Jayaprabhu is 1639176555 and holds a License No. L2351 (Texas).

The current practice location address for Sudheer M Jayaprabhu is 1002 Texas Blvd, Texarkana, TX and can be reached out via phone at 903-792-4808 and via fax at 903-792-2681.

Location: 1002 Texas Blvd, Texarkana, TX, 75501-5107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639176555
Provider Name
Sudheer M Jayaprabhu
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1002 Texas Blvd, Texarkana, TX, 75501-5107
Phone Number
903-792-4808
Fax Number
903-792-2681
Provider Enumeration Date
07/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
145699804 05 TX
institution
Provider Business Practice Location Address Details
Address
1002 Texas Blvd
City
Texarkana
State
Texas
Zip
75501-5107
Phone Number
903-792-4808
Fax Number
903-792-2681
person
Provider Business Mailing Address Details
Address
1002 Texas Blvd
City
Texarkana
State
Texas
Zip
75501-5107
Phone Number
903-792-4808
Fax Number
903-792-2681
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
L2351 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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