Individual
JAY TENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1601 W. HEBRON PARKWAY, SUITE 100, CARROLLTON, TX 75010
(972) 426-8675
(972) 492-4694
Mailing address
1601 W. HEBRON PARKWAY, SUITE 100, CARROLLTON, TX 75010
(972) 426-8675
(972) 492-4694
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
F2964
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098805701
—
TX
05
—
098805703
—
TX
01
—
098805704
MEDICAID OTHER
TX
01
—
110127907
RAILROAD MEDICARE
TX
Enumeration date
06/13/2006
Last updated
06/16/2016
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