Jyoti Jain, Md, Pa
LBN: Jyoti Jain, Md, Pa
Jyoti Jain, Md, Pa is an health care organization with primary practice located at 6448 Broadway Blvd , Garland TX 75043-5943. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty.
Jyoti Jain, Md, Pa can be contacted via phone (972) 216-8500, or through Jain, Jyoti via phone (972) 216-8500.
Contact Information
Primary practice address
6448 Broadway Blvd
Garland TX 75043-5943
Phone: (972) 216-8500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | J9110 | Texas |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | J9110 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 717114 | Texas |
Profile Details
| NPI number | 1336417039 |
|---|---|
| LBN Legal business name | Jyoti Jain, Md, Pa |
| DBA Doing business as | |
| Authorized official | Jain, Jyoti M.D., P.A. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 8th, 2011 |
| Last updated | Apr 17th, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336417039 | NPPES |
| Texas | Other | 717114 | NICOLE LICENSE |
| Texas | Other | 111658401 | NICOLE LICENSE |
| Texas | Other | 1508151994 | NICOLE LICENSE |
| Texas | Other | J9110 | NICOLE LICENSE |
| Texas | Other | 1932111945 | NICOLE LICENSE |
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