Jared Quincy Shirley in San Antonio - Chiropractor

Jared Quincy Shirley - NPI 1417975517

Jared Quincy Shirley is a Chiropractor in San Antonio, Texas. Jared Quincy Shirley practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jared Quincy Shirley is 1417975517. The last update date is 2010-08-06.

Jared Quincy Shirley's current location address is 6111 Tezel Rd Ste 101, San Antonio, Texas. You can contact this provider via phone number 2102867007 and fax number 2105200097. The mailing address for Jared Quincy Shirley is 6111 Tezel Rd Ste 101, San Antonio, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jared Quincy Shirley
Address 6111 Tezel Rd Ste 101, San Antonio, Texas
Phone Number 2102867007
Fax Number 2105200097
Sole Proprietor N
Credentials D.C.

NPI Number Detail

NPI Number 1417975517
Provider Enumeration Date 2006-07-17
Last Updated Date 2010-08-06

Provider Mailing Address Detail

Address 6111 Tezel Rd Ste 101
City San Antonio
State Texas (TX)
Post Code 782504184
Phone Number 2102867007
Fax Number 2105200097

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 10122
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
94SV TX BCBS TX
9088145 TX AETNA PIN
3038563 TX CIGNA

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FAQs about Jared Quincy Shirley

What is the unique 10-digit identifier code assigned to Jared Quincy Shirley by the Centers for Medicare & Medicaid Services?

The Jared Quincy Shirley has been issued the NPI (National Provider Identifier) 1417975517 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the Jared Quincy Shirley located?

The Jared Quincy Shirley is located at 6111 Tezel Rd Ste 101, San Antonio, TX 782504184.

What is the area of specialization for Jared Quincy Shirley, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jared Quincy Shirley is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.

On what date did the Jared Quincy Shirley receive its 1417975517 assignment from the Centers for Medicare & Medicaid Services?

The Jared Quincy Shirley was assigned its 1417975517 by the Centers for Medicare & Medicaid Services on 2006-07-17.

When was the information regarding Jared Quincy Shirley, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jared Quincy Shirley, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-08-06.

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