Provider Demographics
NPI:1396593455
Name:BEARD, JOURNEE BRYANA (DC)
Entity type:Individual
Prefix:
First Name:JOURNEE
Middle Name:BRYANA
Last Name:BEARD
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 1:439 NORTHWEST HWY APT 3608
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-4237
Mailing Address - Country:US
Mailing Address - Phone:225-207-0693
Mailing Address - Fax:
Practice Address - Street 1:2525 W WHEATLAND RD STE 230
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237-3502
Practice Address - Country:US
Practice Address - Phone:972-780-7246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15699111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor