Organization
FAITH CHIROPRACTIC CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRI JOHNSON DC (OWNER)
(214) 330-9596
Entity
Organization
Contact information
Practice address
5801 M D LOVE FRWY, SUITE 305, DALLAS, TX 75237
(214) 330-9596
(214) 330-9588
Mailing address
5801 M D LOVE FRWY, SUITE 305, DALLAS, TX 75237
(214) 330-9596
(214) 330-9588
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9275
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200547433T
BCBS
TX
01
—
8BQ250
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
11/13/2006
Last updated
05/21/2009
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