Individual
DAVID JAYAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
707 HOLLYBROOK DR, LONGVIEW, TX 75605-2410
(903) 291-6191
(903) 291-6155
Mailing address
PO BOX 19036, BELFAST, ME 04915-4085
(903) 291-6191
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
N6893
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
N6893
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215876802
—
TX
Enumeration date
04/14/2006
Last updated
11/09/2021
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