Individual provider · Type 1 NPI
Brad Glenn Carroll, DC
Chiropractor · Jacksonville, TX
NPI number
1770829814
Active
Practice location
2045 S Jackson St
Jacksonville, TX 75766-5821
Fax (903) 586-6404
Mailing address
212 Walnut Cir
Jacksonville, TX 75766-0560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 5324 (TX) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1770829814
Brad Glenn Carroll, DC's National Provider Identifier is 1770829814, issued on Dec 18, 2012. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Jacksonville, TX. The record was last updated on Dec 18, 2012.