JYOTI JAIN MD PA NPI 1336417039

NPI Information

  • NPI: 1336417039
  • Provider Name: JYOTI JAIN, MD, PA
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Address: 6448 BROADWAY BLVD
    GARLAND, TX
    ZIP 75043
  • Phone: (972) 216-8500

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NPI Details

JYOTI JAIN, MD, PA is a pediatrics in Garland, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. JYOTI JAIN, MD, PA NPI is 1336417039. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

6448 BROADWAY BLVD
GARLAND, TX
ZIP 75043-943
Phone: (972) 216-8500

The provider's authorized official is Jyoti Jain .
The authorized official title is Owner/physician and has the following contact phone number (972) 216-8500.

The enumeration date for this NPI number is 12/8/2011 and was last updated on 4/17/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent MedicineJ9110TEXASNo
2363LP0200XNurse PractitionerPediatrics717114TEXASNo
3208000000XPediatricsJ9110TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1111658401OTHERTEXASDR JAIN TPI
2717114OTHERTEXASNICOLE LICENSE
31508151994OTHERNICOLE NPI
41932111945OTHERDR JAIN NPI
5J9110OTHERTEXASDR JAIN LICENSE
6G17535MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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