Whalio Doctors

NPI 1336417039

Jyoti Jain, MD, PA

Organisation Pediatrics Physician Garland, TX

Practice location

Address
6448 Broadway Blvd, Garland, TX 75043-5943
Phone
(972) 216-8500

Authorised official

Name
Jyoti Jain
Title
Owner/Physician
Phone
(972) 216-8500

Registered specialties (3)

Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence J9110 (TX)
Pediatric Adolescent Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 2080A0000X Licence J9110 (TX)
Pediatric Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0200X Licence 717114 (TX)

Registry record

NPI
1336417039
Entity type
Organization
NPI issued
8 Dec 2011
Record last updated
17 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.