Individual
DR. JASON A. DEGENHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
560 E CENTRAL TEXAS EXPY STE 102, HARKER HEIGHTS, TX 76548-5625
(254) 698-1600
(254) 698-1605
Mailing address
560 E CENTRAL TEXAS EXPY STE 102, HARKER HEIGHTS, TX 76548-5625
(254) 698-1600
(254) 698-1605
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9654
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8M6299
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/27/2006
Last updated
10/20/2020
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