Individual
JORDAN DANIEL RASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4302 W LOVERS LN, DALLAS, TX 75209-2804
(214) 862-1469
Mailing address
14155 DALLAS PKWY APT 1353, DALLAS, TX 75254-4450
(618) 530-3694
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
15033
TX
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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