Individual
JAY GAVVALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6410 FANNIN ST STE 1014, HOUSTON, TX 77030-5301
(832) 325-7080
Mailing address
1133 JOHN FREEMAN BLVD STE 440D, HOUSTON, TX 77030-2809
(713) 500-7015
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Q7373
TX
2084N0400X
Neurology Physician
036.132043
IL
2084N0400X
Neurology Physician
Q7373
TX
2084N0600X
Clinical Neurophysiology Physician
036.132043
IL
2084N0600X
Clinical Neurophysiology Physician
Primary
Q7373
TX
Other
Enumeration date
08/26/2009
Last updated
06/14/2023
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