Provider Demographics
NPI:1225278781
Name:BAILEY, JERONE BRUCE (DC)
Entity Type:Individual
Prefix:DR
First Name:JERONE
Middle Name:BRUCE
Last Name:BAILEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2002 S STEMMONS FWY STE 500
Mailing Address - Street 2:
Mailing Address - City:LAKE DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75065-3633
Mailing Address - Country:US
Mailing Address - Phone:940-497-3562
Mailing Address - Fax:
Practice Address - Street 1:262 S INTERSTATE 35 E
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-5839
Practice Address - Country:US
Practice Address - Phone:940-497-3562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-24
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11111111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor