Provider Demographics
NPI:1548577976
Name:JACOB PARAYIL, ANITA (PNP, FNP, DNP)
Entity type:Individual
Prefix:DR
First Name:ANITA
Middle Name:
Last Name:JACOB PARAYIL
Suffix:
Gender:F
Credentials:PNP, FNP, DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2308 W GRAUWYLER RD
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75061-4352
Mailing Address - Country:US
Mailing Address - Phone:972-790-8300
Mailing Address - Fax:972-790-8985
Practice Address - Street 1:2308 W GRAUWYLER RD
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-4352
Practice Address - Country:US
Practice Address - Phone:972-790-8300
Practice Address - Fax:972-790-8985
Is Sole Proprietor?:No
Enumeration Date:2010-09-07
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP115881363LP0200X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB138844Medicare PIN
TXTXB138845Medicare PIN
TXTXB138846Medicare PIN