Novak, Jayshree J

Novak, Jayshree J is an sole proprietor health care provider with primary practice located at 500 N Coit Rd Suite 2074, Richardson TX 75080-5444. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Novak, Jayshree J can be contacted via phone (972) 231-4605.

Contact Information

Primary practice address
500 N Coit Rd Suite 2074 Richardson TX 75080-5444
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X K1886 Texas

Profile Details

NPI number 1164426573
LBN Legal business name Novak, Jayshree J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2005
Last updated Nov 16th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164426573 NPPES
Texas MEDICAID 030321601

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