Provider Demographics
NPI:1841402476
Name:CROWDER, JAYE DOUGLAS (MD)
Entity Type:Individual
Prefix:DR
First Name:JAYE
Middle Name:DOUGLAS
Last Name:CROWDER
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 1:13140 COIT RD
Mailing Address - Street 2:SUITE 518
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-5755
Mailing Address - Country:US
Mailing Address - Phone:469-330-7378
Mailing Address - Fax:469-330-7388
Practice Address - Street 1:13140 COIT RD
Practice Address - Street 2:SUITE 518
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-5755
Practice Address - Country:US
Practice Address - Phone:469-330-7378
Practice Address - Fax:469-330-7388
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF65512084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry