Individual
DR. JAI KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3010 LEGACY DR STE 130, FRISCO, TX 75034-7631
(214) 618-1676
Mailing address
4701 COPPER MOUNTAIN LN, RICHARDSON, TX 75082-3892
(214) 505-7107
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
M1857
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178794701
—
TX
05
—
178794702
—
TX
01
—
8U9520
BCBS
TX
01
—
P00807803
MEDICARE RAILROAD
TX
Enumeration date
09/28/2006
Last updated
12/20/2019
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