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Individual

DR. JAY DONALD MABREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3600 GASTON AVE, SUITE 1101, DALLAS, TX 75246-1800
(214) 820-7010
(214) 820-7015
Mailing address
3600 GASTON AVE, SUITE 1101, DALLAS, TX 75246-1800
(214) 820-7010
(214) 820-7015

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
J2665
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102926603
TX
05
102926604
TX
01
8BR111
BCBS
TX
01
8K6393
BCBS
TX
Enumeration date
06/28/2006
Last updated
06/15/2010
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