Jerry Kulangara John

Physician Assistant · Bedford, TX

Individual Active NPI

NPI number 1285377457

Practice location

1615 Hospital Pkwy Ste 306
Bedford, TX 76022-5936
Phone
(512) 628-0465

Open in Google Maps

NPI record

NPI
1285377457
Entity type
Individual (Type 1)
Enumeration date
April 15, 2022
Last updated
August 18, 2023
Certified
August 18, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X — —
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

7300 Ranch Road 2222, Bldg 1, Ste 200
Austin, TX 78730-3255
Phone
(512) 628-0465
Fax
(512) 233-2711

About Jerry John

Jerry Kulangara John is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1615 Hospital Pkwy Ste 306, Bedford, TX 76022-5936. The NPI number 1285377457 was assigned on April 15, 2022 and the record was last updated on August 18, 2023.

Frequently asked questions

What is the NPI number of Jerry Kulangara John?

The NPI number is 1285377457.

What is the phone number of Jerry John?

The phone number listed for the practice location is (512) 628-0465.

Where is Jerry John located?

1615 Hospital Pkwy Ste 306, Bedford, TX 76022-5936.

What is the taxonomy code for Jerry John?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Physician Assistant providers in Bedford

All Physician Assistant providers in Bedford, TX →