MEDICARE: ELSY JAZILY-JOY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1255453338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELSY JAZILY-JOY

Provider Business Mailing Address
First Line	:	4205 STONE HAVEN DR
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75043-7289
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1353 N WESTMORELAND RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75211-1655
Country	:	US
Telephone Number	:	214-331-0133
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2007
Last Update Date	:	07/08/2007

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Directions to “ ELSY JAZILY-JOY ” Practice Location

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