Individual
DR. VINAY KUMAR JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3410 WORTH ST, DALLAS, TX 75246-2003
(214) 370-1000
(214) 370-1202
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
J3504
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136964701
—
TX
05
—
136964702
—
TX
05
—
136964703
—
TX
05
—
136964704
—
TX
05
—
136964705
—
TX
01
—
136964706
CSHCN
TX
05
—
136964707
—
TX
05
—
136964708
—
TX
01
—
8R1475
BLUE CROSS OF TX
TX
Enumeration date
07/20/2006
Last updated
09/01/2011
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