Individual
DR. JAY NANDALAL YEPURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 CENTRAL DR, SUITE 155, BEDFORD, TX 76022-6000
(817) 267-8470
(817) 267-0396
Mailing address
7610 N STEMMONS FWY STE 600, DALLAS, TX 75247-4228
(214) 689-5960
(469) 713-8084
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
036.118102
IL
207RG0100X
Gastroenterology Physician
Primary
L9026
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196772101
—
TX
01
—
8F3158
BCBSTX
TX
Enumeration date
08/30/2006
Last updated
09/25/2020
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