Provider Demographics
NPI:1669187498
Name:O'NEAL, JAYME MCDANIEL (DC)
Entity type:Individual
Prefix:DR
First Name:JAYME
Middle Name:MCDANIEL
Last Name:O'NEAL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:JAYME
Other - Middle Name:LAUREN
Other - Last Name:MCDANIEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:27541 RIATA RANCH DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78261-2516
Mailing Address - Country:US
Mailing Address - Phone:210-254-7586
Mailing Address - Fax:
Practice Address - Street 1:8527 VILLAGE DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-5513
Practice Address - Country:US
Practice Address - Phone:210-960-9000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-17
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15463111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor