MEDICARE: DR. JENNIFER LYNN DANIELS DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	16352	TX

General Provider Information

NPI Number	:	1033923792
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER LYNN DANIELS DC

Provider Business Mailing Address
First Line	:	1004 E HOUSTON ST
Second Line	:
City	:	BEEVILLE
State	:	TX
Zip	:	78102-5259
Country	:	US
Telephone Number	:	361-358-2578
Fax Number	:

Provider Business Practice Location Address
First Line	:	1004 E HOUSTON ST
Second Line	:
City	:	BEEVILLE
State	:	TX
Zip	:	78102-5259
Country	:	US
Telephone Number	:	361-358-2578
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2025
Last Update Date	:	02/04/2025

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