Organization
ALIGN HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRYLEE OTIMEYE EJUWA DC (OWNER)
(817) 251-0550
Entity
Organization
Contact information
Practice address
1025 S MAIN ST STE 305, GRAPEVINE, TX 76051-7506
(817) 251-0550
(817) 251-0599
Mailing address
1025 S MAIN ST STE 305, GRAPEVINE, TX 76051-7506
(817) 251-0550
(817) 251-0599
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Enumeration date
11/10/2016
Last updated
06/30/2020
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