Provider Demographics
NPI:1881023901
Name:MACY, JEFF L (DC)
Entity Type:Individual
Prefix:DR
First Name:JEFF
Middle Name:L
Last Name:MACY
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 1:2100 AVIGNON DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-2314
Mailing Address - Country:US
Mailing Address - Phone:281-736-6323
Mailing Address - Fax:
Practice Address - Street 1:4710 PRESTON RD
Practice Address - Street 2:SUITE 308
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-8546
Practice Address - Country:US
Practice Address - Phone:281-736-6323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-08
Last Update Date:2015-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12407111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor