Individual
DR. JASON NICHOLAS MOORE
Active
Individual
DR. JASON NICHOLAS MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
10451
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8AP440
BLUE CROSS BLUE SHEILDS
TX
Enumeration date
11/01/2006
Last updated
03/17/2008
Update your record
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