Provider Demographics
NPI:1407205222
Name:JAYSHRI HEALTH SERVICES
Entity Type:Organization
Organization Name:JAYSHRI HEALTH SERVICES
Other - Org Name:PURE HEALTH FAMILY PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAYSHRI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHASMAWALA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:214-824-6700
Mailing Address - Street 1:6315 LINDSLEY AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75223-1312
Mailing Address - Country:US
Mailing Address - Phone:214-824-6700
Mailing Address - Fax:214-824-6701
Practice Address - Street 1:6315 LINDSLEY AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75223-1312
Practice Address - Country:US
Practice Address - Phone:214-824-6700
Practice Address - Fax:214-824-6701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-13
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care