Provider Demographics
NPI:1881012797
Name:MANN, JINNA (DC)
Entity Type:Individual
Prefix:DR
First Name:JINNA
Middle Name:
Last Name:MANN
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 1:912 WESTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-8516
Mailing Address - Country:US
Mailing Address - Phone:214-315-3557
Mailing Address - Fax:
Practice Address - Street 1:13617 INWOOD RD STE 210
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75244-4629
Practice Address - Country:US
Practice Address - Phone:143-153-5572
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-29
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12606111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX381823ZLQJMedicare PIN