Organization
VALIANT LIFE MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MATTHEW JERNIGAN DC (CHIROPRACTOR)
(817) 926-0012
Entity
Organization
Contact information
Practice address
4830 SOUTH FWY, FORT WORTH, TX 76115-3901
(817) 926-0012
(817) 927-0533
Mailing address
4830 SOUTH FWY, FORT WORTH, TX 76115-3901
(817) 926-0012
(817) 927-0533
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
N1889
TX
Other
Enumeration date
06/05/2018
Last updated
02/08/2019
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