Jk7 Promisland, Inc.

NPI #1861777526 in Tyler, Texas

Provider Information

NPI Number: 1861777526
Entity Type: Organization
Organization Name: Jk7 Promisland, Inc.
Primary Specialty: Chiropractor
Enumeration Date: Oct 13, 2011
Last Updated: Oct 13, 2011

Practice Location

Address: 6775 OLD JACKSONVILLE HWY # 2
City: Tyler
State: Texas
ZIP Code: 75703-0508
Phone: (903) 509-8000

Authorized Official

Name: JEFFREY LEON SHIRLEY
Title: OWNER
Phone: (903) 509-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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