Individual
DR. JERRY WAYNE DUVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1514 S 77 SUNSHINESTRIP, SUITE 19, HARLINGEN, TX 78550-7208
(956) 425-6932
(956) 425-6933
Mailing address
1514 S 77 SUNSHINESTRIP, SUITE 19, HARLINGEN, TX 78550-7208
(956) 425-6932
(956) 425-6933
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
5960
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
605139
—
TX
Enumeration date
01/19/2007
Last updated
08/14/2008
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