Jason Daniel Mccoy, LMT, SLT
NPI #1285044016 in Grand Prairie, Texas
Provider Information
- NPI Number
- 1285044016
- Entity Type
- Individual
- Name
- Jason Daniel Mccoy, LMT, SLT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- LMT, SLT
- Enumeration Date
- May 1, 2014
- Last Updated
- May 1, 2014
Practice Location
- Address
- 925 W PIONEER PKWY
- Address 2
- SUITE D.
- City
- Grand Prairie
- State
- Texas
- ZIP Code
- 75051-4735
- Phone
- (214) 412-2079
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
| Technician, Other |
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