Jay Takata is a Gastroenterology in Athens, Texas. Jay Takata practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Jay Takata is 1083801518. The last update date is 2018-06-06.
Jay Takata's current location address is 115 S Murchison St, Athens, Texas. You can contact this provider via phone number 9036773737 and fax number 9036776014. The mailing address for Jay Takata is 115 S Murchison St, Athens, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jay Takata |
|---|---|
| Address | 115 S Murchison St, Athens, Texas |
| Phone Number | 9036773737 |
| Fax Number | 9036776014 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1083801518 |
|---|---|
| Provider Enumeration Date | 2007-09-28 |
| Last Updated Date | 2018-06-06 |
Provider Mailing Address Detail
| Address | 115 S Murchison St |
|---|---|
| City | Athens |
| State | Texas (TX) |
| Post Code | 757512662 |
| Phone Number | 9036773737 |
| Fax Number | 9036776014 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | K7400 |
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Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31287801 | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jay Takata?
The Jay Takata has been issued the NPI (National Provider Identifier) 1083801518 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Jay Takata is physically located?
The Jay Takata is physically situated at the following address: 115 S Murchison St, Athens, TX, 757512662.
What is the Jay Takata's specialty and taxonomy code?
The Jay Takata's specialty is Gastroenterology, and the corresponding taxonomy code is 207Rg0100X.
On what date did the Jay Takata receive its 1083801518 assignment from the Centers for Medicare & Medicaid Services?
The Jay Takata was assigned its 1083801518 by the Centers for Medicare & Medicaid Services on 2007-09-28.
When was the information pertaining to Jay Takata most recently updated or revised?
The details related to Jay Takata, including its address, specialty, and other relevant information, were last updated or revised on 2018-06-06.