Provider Demographics
NPI:1750508859
Name:EAVES, JASON LEVON (DC)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:LEVON
Last Name:EAVES
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 1:1141 N LOOP 1604 E # 105-400
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-1339
Mailing Address - Country:US
Mailing Address - Phone:210-385-2475
Mailing Address - Fax:888-977-1657
Practice Address - Street 1:1141 N LOOP 1604 E # 105-400
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-1339
Practice Address - Country:US
Practice Address - Phone:210-385-2475
Practice Address - Fax:888-977-1657
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8287111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation