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Individual

DR. JIMMIE NATHAN WOOTEN IV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
816 W MCDERMOTT DR STE 324, ALLEN, TX 75013-6505
(972) 383-9545
(214) 575-8855
Mailing address
816 W MCDERMOTT DR STE 324, ALLEN, TX 75013-6505
(972) 383-9545

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
10584
TX

Other

Enumeration date
04/16/2007
Last updated
02/13/2019
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