Individual
DR. JAY M SHENAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 HIGHWAY 6 STE 10, SUGAR LAND, TX 77478-4917
(832) 532-7100
(832) 532-7410
Mailing address
16605 SOUTHWEST FWY, STE 510, SUGAR LAND, TX 77479
(832) 532-7100
(832) 532-7410
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
C52028
CA
208200000X
Plastic Surgery Physician
Primary
J5674
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030565801
—
TX
01
—
53AV
BCBS TX
—
Enumeration date
10/16/2006
Last updated
12/29/2021
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