Individual
JASON EVERETT MCCLOSKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
11511 LUNA RD STE 100, FARMERS BRANCH, TX 75234-6022
(214) 771-1885
Mailing address
11511 LUNA RD STE 100, FARMERS BRANCH, TX 75234-6022
(214) 771-1885
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
13766
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13766
NBCE STATE LICENSE
TX
Enumeration date
03/22/2018
Last updated
03/22/2018
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