| Jay Alan Davis, Md | |
|
419 Brady Ln Austin TX 78746-5501 | |
| (512) 306-0050 | |
| (512) 306-0015 |
| Full Name | Jay Alan Davis, Md |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 419 Brady Ln, Austin, Texas |
| Authorized Official Name and Position | Jay Alan Davis (OWNER - SOLE PROPRIETOR) |
| Authorized Official Contact | 5123060050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jay Alan Davis, Md Po Box 163296 Austin TX 78716-3296 Ph: (512) 306-0050 | Jay Alan Davis, Md 419 Brady Ln Austin TX 78746-5501 Ph: (512) 306-0050 |
| NPI Number | 1487702684 |
|---|---|
| Provider Enumeration Date | 01/07/2007 |
| Last Update Date | 05/06/2021 |
| Certification Date | 05/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487702684 | NPI | - | NPPES |
| 0070QD | Other | TX | BCBS GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | G7798 (Texas) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | G7798 (Texas) | Secondary |
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