Search › Texas › 122300000X
Jacob Kuruvilla, DMD
NPI 1164952032 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1110 S Cesar Chavez Blvd Apt 3050
Dallas, TX 75201 - Phone
- (631) 742-9840
- Organisation at this address
- The Iwc Network Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
- Licence states on file
- PA, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas