Provider Demographics
NPI:1699544122
Name:SCHAUBLE, JAY JR
Entity type:Individual
Prefix:
First Name:JAY
Middle Name:
Last Name:SCHAUBLE
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 GRAND VIEW TERRACE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-8346
Mailing Address - Country:US
Mailing Address - Phone:337-945-7529
Mailing Address - Fax:
Practice Address - Street 1:25718 SERENE SPRING LN
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77373-8464
Practice Address - Country:US
Practice Address - Phone:281-770-0423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-26
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider