Provider Demographics
NPI:1154327047
Name:GRUHLKEY, JAY LOYD (MD)
Entity Type:Individual
Prefix:DR
First Name:JAY
Middle Name:LOYD
Last Name:GRUHLKEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:301 MAIN PLZ # 342
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-5136
Mailing Address - Country:US
Mailing Address - Phone:830-626-9911
Mailing Address - Fax:830-626-9922
Practice Address - Street 1:952 GRUENE RD STE 150
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3920
Practice Address - Country:US
Practice Address - Phone:830-626-9911
Practice Address - Fax:830-626-9922
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-24
Last Update Date:2012-07-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK7750207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0007NSOtherBCBS
TXH00248Medicare UPIN