Individual
DR. JAY PRAHLAD BHAKTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
221 REGENCY PKWY, SUITE 101, MANSFIELD, TX 76063-5379
(817) 453-0430
(817) 453-0400
Mailing address
221 REGENCY PKWY, SUITE 101, MANSFIELD, TX 76063-5379
(817) 453-0430
(817) 453-0400
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
13375
TX
111NR0400X
Rehabilitation Chiropractor
13375
TX
Other
Enumeration date
01/17/2017
Last updated
04/07/2017
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