Individual
JAY SAWYER CROLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4301114363
MI
207X00000X
Orthopaedic Surgery Physician
BP10047046
TX
207X00000X
Orthopaedic Surgery Physician
Primary
R7424
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
574542
PHYSICIAN IN TRAINING PERMIT
TX
01
—
R7424
PHYSICIAN
TX
Enumeration date
05/29/2013
Last updated
09/15/2019
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