Individual
DR. JAY M STANLEY
Active
Individual
DR. JAY M STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
29485
OK
207X00000X
Orthopaedic Surgery Physician
Primary
N6040
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214084005
—
TX
01
—
P02587354
MEDICARE RAILROAD
TX
Enumeration date
12/20/2007
Last updated
01/21/2021
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