Individual
JAMES MATTHEW JERNIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4830 SOUTH FWY, FORT WORTH, TX 76115-3901
(817) 926-0012
(817) 927-0533
Mailing address
4830 SOUTH FWY, FORT WORTH, TX 76115-3901
(817) 926-0012
(817) 927-0533
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4462
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
601782
BCBS PROVIDER NUMBER
TX
Enumeration date
08/30/2006
Last updated
11/25/2008
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