Individual
JAY A ALLPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 HILLCREST MEDICAL BLVD, WACO, TX 76712-8897
(254) 202-5800
(254) 202-5849
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
P4294
TX
207P00000X
Emergency Medicine Physician
Primary
P4924
TX
Other
Enumeration date
07/13/2012
Last updated
11/16/2015
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