Individual
DR. JEREMY DALE RAUHAUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2430 JUSTIN RD STE B, HIGHLAND VILLAGE, TX 75077-3090
(972) 317-3146
Mailing address
2430 JUSTIN RD, SUITE B, HIGHLAND VILLAGE, TX 75077-3091
(972) 333-3206
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6591
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6591
LISCENCE #
TX
01
—
83600X
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/08/2006
Last updated
12/07/2020
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