Individual
JACOB TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1201 E LEVEE ST, DALLAS, TX 75207-7107
(214) 308-0862
Mailing address
1201 E LEVEE ST, DALLAS, TX 75207-7107
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
16337
TX
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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