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General NPI Number Information
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NPI Number | 1730486986
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Entity Type | Organization
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Legal Business Name | T JAYAKUMAR MD PA
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Dates
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Enumeration Date | 02/24/2011
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Last Update Date | 02/24/2011
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Provider Practice Location Address
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Address Line | 7737 SOUTHWEST FWY #830
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City | HOUSTON
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State | TX
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Zip | 77074-1807
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Country | US
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Telephone | 713-995-1202
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Fax | 713-995-5143
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Provider Business Mailing Address
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Address Line | 7737 SOUTHWEST FWY #830
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City | HOUSTON
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State | TX
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Zip | 77074-1807
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Country | US
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Telephone | 713-995-1202
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Fax | 713-995-5143
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Authorized Official
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Title or Position | PRESIDENT/ OWNER
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Name | DR. THIRUMALAIRAJ JAYAKUMAR
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Credential | M.D.
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Telephone | 713-995-1202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G2399
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License Number State | TX
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