Provider Demographics
NPI:1376568667
Name:MCNEESE, JASON E (DC)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:E
Last Name:MCNEESE
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 1:6219 IRVINGTON BLVD
Mailing Address - Street 2:STE A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77022-5951
Mailing Address - Country:US
Mailing Address - Phone:713-697-6881
Mailing Address - Fax:713-697-6025
Practice Address - Street 1:6219 IRVINGTON BLVD
Practice Address - Street 2:STE A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77022-5951
Practice Address - Country:US
Practice Address - Phone:713-697-6881
Practice Address - Fax:713-697-6025
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8582111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor