Provider Demographics
NPI:1518075373
Name:LAY, JAMES MICHAEL (DC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:MICHAEL
Last Name:LAY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:11628 MUSKET RIM ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78738-6600
Mailing Address - Country:US
Mailing Address - Phone:512-394-1471
Mailing Address - Fax:512-394-1471
Practice Address - Street 1:816 CONGRESS AVE STE 980
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78701-2490
Practice Address - Country:US
Practice Address - Phone:512-499-0366
Practice Address - Fax:512-499-0217
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7159111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0029LMOtherBCBS GROUP ID
TX0030LMOtherBCBS GROUP ID
TX8M7960OtherBCBS ID