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Individual

DR. JAY GORDON COURTRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7777 FOREST LN, BLDG D, SUITE 400, DALLAS, TX 75230-2505
(972) 566-7790
(972) 566-5819
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
L6848
TX
207RX0202X
Medical Oncology Physician
Primary
L6848
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
159932601
TX
05
159932602
TX
05
159932603
TX
01
8R1418
BLUE CROSS OF TEXAS
TX
Enumeration date
06/04/2006
Last updated
04/17/2019
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