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Prashanth Joshua Jaisankar
General Practice Physician in Jbsa Ft Sam Houston, Texas
NPI 1972244614

Prashanth Joshua Jaisankar is a General Practice Physician based in Jbsa Ft Sam Houston, TX. Prashanth Joshua Jaisankar practices in Jbsa Ft Sam Houston, TX. The NPI Number for Prashanth Joshua Jaisankar is 1972244614 and holds a License No. 0102208322 (Texas).

The current practice location address for Prashanth Joshua Jaisankar is 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX and can be reached out via phone at 301-221-5697.

Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX, 78234-4504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972244614
Provider Name
Prashanth Joshua Jaisankar
Credential
Provider Entity Type
Individual
Gender
Male
Address
3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX, 78234-4504
Phone Number
301-221-5697
Fax Number
Provider Enumeration Date
04/05/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3551 Roger Brooke Dr
City
Jbsa Ft Sam Houston
State
Texas
Zip
78234-4504
Phone Number
301-221-5697
Fax Number
person
Provider Business Mailing Address Details
Address
3551 Roger Brooke Dr
City
Jbsa Ft Sam Houston
State
Texas
Zip
78234-4504
Phone Number
301-221-5697
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
0102208322 (Virginia)
Definition
Definition to come...
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