Individual
JARED QUINCY SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6111 TEZEL RD, SUITE 101, SAN ANTONIO, TX 78250
(210) 286-7007
(210) 520-0097
Mailing address
6111 TEZEL RD STE 101, SAN ANTONIO, TX 78250-4184
(210) 286-7007
(210) 520-0097
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10122
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3038563
CIGNA
TX
01
—
9088145
AETNA PIN
TX
01
—
94SV
BCBS TX
TX
Enumeration date
07/17/2006
Last updated
08/06/2010
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