Organization
JAELYN ENT., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA STANGENWALD WILSON D.C. (PRESIDENT)
(817) 281-9040
Entity
Organization
Contact information
Practice address
466 MID CITIES BLVD, HURST, TX 76054-2430
(817) 281-9040
(817) 281-4249
Mailing address
466 MID CITIES BLVD, HURST, TX 76054-2430
(817) 281-9040
(817) 281-4249
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10088
TX
Other
Enumeration date
03/06/2007
Last updated
08/22/2020
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