Provider Demographics
NPI:1316027253
Name:DAY, JEFFREY L (MD)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:L
Last Name:DAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 733784
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-3784
Mailing Address - Country:US
Mailing Address - Phone:682-885-1855
Mailing Address - Fax:682-885-1396
Practice Address - Street 1:3304 COLORADO BLVD STE 10
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-6871
Practice Address - Country:US
Practice Address - Phone:940-565-1510
Practice Address - Fax:940-243-0607
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1309208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7896196OtherAETNA PIN
TX8983731OtherCIGNA PIN
TX9165938OtherPHCS PIN
TX00U87ZOtherBCBSTX GRP PIN
TX86463GOtherBCBSTX IND PIN
TXDAYJ458738OtherCCHIP PIN
TX2078945OtherUHC PIN
TX144073703OtherCSHCN
TX144073702Medicaid
TX1951208OtherFIRSTHEALTH PIN
TX128136100OtherFIRSTCARE PIN
1750369203OtherGRP NPI NUMBER
TX2078945OtherUHC PIN
TX7896196OtherAETNA PIN