Individual
JASON RAY CLEMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
8004 ABBEVILLE AVE, LUBBOCK, TX 79424-2806
(806) 794-0400
Mailing address
5817 95TH ST, LUBBOCK, TX 79424-4750
(806) 783-9130
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9975
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8J0812
BCBS
TX
Enumeration date
11/09/2006
Last updated
07/08/2007
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