Individual provider · Type 1 NPI

Tiju Kunjukunjukuttytharakan, NP

Family Nurse Practitioner · Dallas, TX

NPI number 1427603869 Active

Practice location

6901 Snider Plz Ste 130
Dallas, TX 75205-5649

Mailing address

200 Rutherford Ave
Wylie, TX 75098-5927

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP142477 (TX)

Family Nurse Practitioner: Definition to come...

10 other providers at this address

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About NPI 1427603869

Tiju Kunjukunjukuttytharakan, NP's National Provider Identifier is 1427603869, issued on Aug 2, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dallas, TX. The record was last updated on Aug 2, 2019.