IndividualActive
Jeevan Thamban
NPI 1417512781 · Primary Care Nurse Practitioner · Temple, TX
Provider details
- NPI number
- 1417512781
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- AP141333 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1901 Veterans Memorial Dr
Temple, TX 76504-7451
Phone: (254) 778-4811
Approximate (ZIP-level) locationGet directions
Mailing address
14402 W Bellfort St Apt 1135
Sugar Land, TX 77498-1834
Registry dates
- Enumerated
- 2019-05-02
- Last updated
- 2019-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.