Individual
JEAN ACHTERBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
3003 LYNDON B JOHNSON FWY STE 122, DALLAS, TX 75234-7773
(972) 406-8786
Mailing address
3003 LYNDON B JOHNSON FWY STE 122, DALLAS, TX 75234-7773
(972) 406-8786
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7256
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
605779
BLUE CROSS BLUE SHIELD
—
Enumeration date
05/15/2007
Last updated
07/08/2007
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