Caire, Jacqueline Tyra
Caire, Jacqueline Tyra is an individual health care provider with primary practice located at 5323 Harry Hines Boulevard , Dallas TX 75390-9257. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Caire, Jacqueline Tyra can be contacted via phone (469) 757-1000.Contact Information
Primary practice address
5323 Harry Hines Boulevard
Dallas TX 75390-9257
Phone: (469) 757-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | K7679 | Texas |
Profile Details
| NPI number | 1003877200 |
|---|---|
| LBN Legal business name | Caire, Jacqueline Tyra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | May 25th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003877200 | NPPES |
| Texas | MEDICAID | 044849003 |
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