Individual
DR. JERRI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
5801 M D LOVE FWY, SUITE 305, DALLAS, TX 75237-2318
(214) 330-9596
(214) 330-9588
Mailing address
5801 M D LOVE FWY, SUITE 305, DALLAS, TX 75237-2318
(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
—
608021
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/07/2008
Last updated
05/26/2009
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