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Individual

DR. JARED WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1150 E ELDORADO PKWY STE 300, LITTLE ELM, TX 75068-5504
(972) 292-9863
(972) 292-9861
Mailing address
1150 E ELDORADO PKWY STE 300, LITTLE ELM, TX 75068-5504
(972) 292-9863
(972) 292-9861

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3956
OR
111NS0005X
Sports Physician Chiropractor
Primary
15157
TX
111NS0005X
Sports Physician Chiropractor
3956
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500707661
OR
Enumeration date
08/25/2009
Last updated
07/25/2022
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