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Organization

JAY ALAN DAVIS, MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAY ALAN DAVIS M.D. (OWNER - SOLE PROPRIETOR)
(512) 306-0050
Entity
Organization

Contact information

Practice address
419 BRADY LN, AUSTIN, TX 78746-5501
(512) 306-0050
(512) 306-0015
Mailing address
PO BOX 163296, AUSTIN, TX 78716-3296
(512) 306-0050
(512) 306-0015

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G7798
TX
2084P0804X
Child & Adolescent Psychiatry Physician
G7798
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0070QD
BCBS GROUP
TX
Enumeration date
01/07/2007
Last updated
05/06/2021
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