Courtright, Jay Gordon
Courtright, Jay Gordon is an individual health care provider with primary practice located at 7777 Forest Ln Bldg D, Suite 400, Dallas TX 75230-2505. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Courtright, Jay Gordon can be contacted via phone (972) 566-7790.Contact Information
Primary practice address
7777 Forest Ln Bldg D, Suite 400
Dallas TX 75230-2505
Phone: (972) 566-7790
Fax: (972) 566-5819
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | L6848 | Texas |
Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | L6848 | Texas |
Profile Details
NPI number | 1487692869 |
---|---|
LBN Legal business name | Courtright, Jay Gordon |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 4th, 2006 |
Last updated | Apr 17th, 2019 - about 5 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 | 1487692869 | NPPES |
Texas | MEDICAID | 159932601 | |
Texas | MEDICAID | 159932602 | |
Texas | MEDICAID | 159932603 | |
Texas | Other | 8R1418 |
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