Individual
DR. JESSICA RAECHELLE JUDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC, BS
Contact information
Practice address
112 W. 4TH ST, JUSTIN, TX 76247
(940) 648-1700
Mailing address
PO BOX 77033, FORT WORTH, TX 76177-0033
(940) 648-1700
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10289
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
608411
BCBS
TX
Enumeration date
08/15/2007
Last updated
09/29/2010
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