Individual
JEANNECE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
5625 FM 1960 RD W STE 504, HOUSTON, TX 77069-4212
(281) 836-6550
Mailing address
5625 FM 1960 RD W STE 504, HOUSTON, TX 77069-4212
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
14007
TX
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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