Individual
DR. JACOB SHORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1231 W HUDGINS ST, GRAPEVINE, TX 76051-5187
(404) 775-0402
Mailing address
1231 W HUDGINS ST, GRAPEVINE, TX 76051-5187
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
12428
TX
111NN0400X
Neurology Chiropractor
CHIR009098
GA
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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