JAY TAKATA

ATHENS, TX
NPI1083801518
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: TX  K7400)
Enumeration Date2007-09-28
Last Update Date2018-06-06
Business Address
-- JAY TAKATA
901 S PALESTINE ST
ATHENS, TX 75751-3612
Phone number: 903-677-3737
Mailing Address
-- JAY TAKATA
115 S MURCHISON ST
ATHENS, TX 75751-2662
Phone number: 903-677-3737
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