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Contact Information

LILLYKUTTY J JACOB
6411 FANNIN ST
HOUSTON, TX77030-1501
 Phone: 713-704-2150
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

163WX0800X
Indicates primary specialty

NPI Profile & details for LILLYKUTTY J JACOB · (Female)

NPI Number 1659836344
Status Active
Credentials
Entity Individual
Enumeration date 02/06/2019
Last updated 02/06/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 753583
  • TX Other 913623317 MEMORIAL HEALTH SYSTEMS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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