Provider Demographics
NPI:1386383479
Name:LEVAI, JAY SILAS (MSCD, CHW/P)
Entity type:Individual
Prefix:MR
First Name:JAY
Middle Name:SILAS
Last Name:LEVAI
Suffix:
Gender:M
Credentials:MSCD, CHW/P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7430 DEEP SPRING ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78238-2715
Mailing Address - Country:US
Mailing Address - Phone:210-718-9965
Mailing Address - Fax:
Practice Address - Street 1:9696 SKILLMAN ST STE 220
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-8316
Practice Address - Country:US
Practice Address - Phone:210-718-9965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-27
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
175F00000X, 175T00000X, 390200000X
TX13530174H00000X, 172V00000X, 172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No175F00000XOther Service ProvidersNaturopath
No174H00000XOther Service ProvidersHealth Educator
No175T00000XOther Service ProvidersPeer Specialist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program