Individual provider · Type 1 NPI
Breonka Latroya Jackson, DC
Chiropractor · Dallas, TX
NPI number
1992397434
Active
Practice location
10464 E Northwest Hwy Ste A
Dallas, TX 75238-4608
Fax (214) 324-5838
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 14680 (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 1992397434
Breonka Latroya Jackson, DC's National Provider Identifier is 1992397434, issued on Feb 5, 2021. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Dallas, TX. The record was last updated on Feb 5, 2021.