# VALIANT LIFE MEDICAL PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043702095
- **Authorized official:** JAMES MATTHEW JERNIGAN DC (CHIROPRACTOR)
- **Authorized official phone:** (817) 926-0012

## Contact information

- **Practice address:** 4830 SOUTH FWY, FORT WORTH, TX 76115-3901
- **Practice address phone:** (817) 926-0012
- **Practice address fax:** (817) 927-0533
- **Mailing address:** 4830 SOUTH FWY, FORT WORTH, TX 76115-3901
- **Mailing address phone:** (817) 926-0012
- **Mailing address fax:** (817) 927-0533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | N1889 | TX | Yes |

## Other

- **Enumeration date:** 06/05/2018
- **Last updated:** 02/08/2019