Individual
DR. JASON CHARLES MARENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
600 S MACARTHUR BLVD, #922, COPPELL, TX 75019-6718
(985) 713-1173
Mailing address
600 S MACARTHUR BLVD, #922, COPPELL, TX 75019-6718
(985) 713-1173
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11687
TX
Other
Enumeration date
02/23/2011
Last updated
02/23/2011
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