Individual
DR. JACK F. LAY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
810 W HIGHWAY 71, MARBLE FALLS, TX 78654-8602
(830) 201-8000
(830) 201-8008
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K3604
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050078721
RR/MEDICARE
TX
05
—
1410532-01
—
TX
01
—
1410532-02
CSHCN
TX
01
—
8A3369
BLUE SHIELD
TX
Enumeration date
03/27/2006
Last updated
05/01/2024
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