Individual
DR. JYOTI JAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6448 BROADWAY BLVD, GARLAND, TX 75043-5943
(972) 216-8500
(972) 216-8521
Mailing address
1209 CREEKWOOD DR, GARLAND, TX 75044-2421
(972) 216-8500
(972) 216-8521
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
J9110
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00T52V
BLUE SHIELD
TX
05
—
111658401
—
TX
01
—
75-2795302
TAX ID
TX
Enumeration date
08/12/2006
Last updated
04/18/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us