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NPI Code Detail

MEDICARE: JAMESON MK KURIAKOSE

MEDICARE: JAMESON MK KURIAKOSE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist70900TX

General Provider Information

NPI Number : 1811624166
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMESON MK KURIAKOSE
Provider Business Mailing Address
First Line : 3902 FM 762 RD
Second Line :
City : ROSENBERG
State : TX
Zip : 77469-5892
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3902 FM 762 RD
Second Line :
City : ROSENBERG
State : TX
Zip : 77469-5892
Country : US
Telephone Number : 281-232-2962
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2022
Last Update Date : 08/05/2022

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Directions to “ JAMESON MK KURIAKOSE ” Practice Location

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