# IMPACT MEDICAL AND CHIROPRACTIC, PLLC

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

## Provider details

- **NPI number:** 1457839425
- **Authorized official:** JESSICA RAECHELLE JUDGE DC (OWNER)
- **Authorized official phone:** (940) 648-1700

## Contact information

- **Practice address:** 11180 FM 156 STE 303, JUSTIN, TX 76247-2995
- **Practice address phone:** (940) 648-1700
- **Practice address fax:** (940) 648-1776
- **Mailing address:** PO BOX 77033, FORT WORTH, TX 76177-0033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NS0005X | Sports Physician Chiropractor | — | NULL | — |
| 111NS0005X | Sports Physician Chiropractor | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 08/01/2018
- **Last updated:** 08/26/2026