Individual
DR. A. JAY STAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8160 WALNUT HILL LN, SUITE # 116, DALLAS, TX 75231-4339
(214) 365-1150
(214) 363-2477
Mailing address
555 REPUBLIC DR, SUITE # 460, PLANO, TX 75074-5481
(972) 644-2819
(972) 680-2949
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
F4563
TX
Other
Enumeration date
08/12/2005
Last updated
09/07/2016
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