Provider Demographics
NPI:1821513839
Name:J5 CHIROPRACTIC AND HEALTH CENTERS
Entity Type:Organization
Organization Name:J5 CHIROPRACTIC AND HEALTH CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:CLAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:682-472-1132
Mailing Address - Street 1:13601 PRESTON RD STE 560E
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-5395
Mailing Address - Country:US
Mailing Address - Phone:682-472-1132
Mailing Address - Fax:817-977-0333
Practice Address - Street 1:13601 PRESTON RD STE 560E
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-5395
Practice Address - Country:US
Practice Address - Phone:682-472-1132
Practice Address - Fax:817-977-0333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty