Provider Demographics
NPI:1073772836
Name:MARTIN JAMIESON, MAUREEN VIRGINIA (DC)
Entity Type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:VIRGINIA
Last Name:MARTIN JAMIESON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7322 CRAIGSHIRE AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4748
Mailing Address - Country:US
Mailing Address - Phone:214-679-9816
Mailing Address - Fax:214-389-1949
Practice Address - Street 1:8117 PRESTON RD STE 680
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-6326
Practice Address - Country:US
Practice Address - Phone:214-679-9816
Practice Address - Fax:214-389-1949
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-06
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5984111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor