Individual
JACQUELINE TYRA CAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BOULEVARD, DALLAS, TX 75390-9257
(469) 757-1000
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
K7679
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044849003
—
TX
Enumeration date
03/29/2006
Last updated
05/25/2018
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