Individual
JAY SIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2525 N VETERANS BLVD, EAGLE PASS, TX 78852-3302
(830) 773-5358
(830) 773-0258
Mailing address
2525 N VETERANS BLVD, EAGLE PASS, TX 78852-3302
(830) 773-8917
(830) 773-1892
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
S2899
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S2899
TEXAS MEDICAL BOARD
TX
Enumeration date
06/06/2016
Last updated
01/17/2025
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