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NPI Code Detail

MEDICARE: DR. ALEX JOLLY DC

MEDICARE: DR. ALEX JOLLY 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
1111N00000XChiropractor6007MN
2111N00000XChiropractor15533TX

General Provider Information

NPI Number : 1205224243
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEX JOLLY DC
Provider Business Mailing Address
First Line : 113 SULPHUR RIVER LOOP
Second Line :
City : HUTTO
State : TX
Zip : 78634-4466
Country : US
Telephone Number : 651-689-3331
Fax Number :
Provider Business Practice Location Address
First Line : 61 N KEGLEY RD
Second Line :
City : TEMPLE
State : TX
Zip : 76502-4067
Country : US
Telephone Number : 254-899-2225
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2014
Last Update Date : 08/15/2023

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Directions to “ DR. ALEX JOLLY DC” Practice Location

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