| Doctor Name: | TANYA JAY LAIR |
| NPI Number: | 1982792479 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A. |
| License Number: | PA02844 |
| Business Practice Address: | 1008 Ne Big Bend Trail Glen Rose, TX - 76043 |
| Business Phone Number: | 2548973444 |
| Business Fax Number: | 2548979973 |
| Mailing Address: | Po Box 2279, GLEN ROSE |
| State: | TX |
| Postal Code: | 760432279 |
| Phone Number: | 2548973444 |
| Fax Number: | 2548979973 |
| NPI Enumeration Date: | 10/10/2006 |
| NPI Last Update Date: | 05/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | PA02844 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |