Individual
SHAILESH JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MOH
Contact information
Practice address
2402 W WALL ST, MIDLAND, TX 79701-6316
(432) 221-5970
Mailing address
PO BOX 5291, MIDLAND, TX 79704-5291
(432) 221-5970
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
L6960
TX
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
L6960
TX
Other
Enumeration date
09/20/2005
Last updated
02/01/2024
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