Healthcare Provider Details

I. General information

NPI: 1134078652
Provider Name (Legal Business Name): JASON LUZ DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2026
Last Update Date: 06/07/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

429 ATLANTIS
KYLE TX
78640-6027
US

IV. Provider business mailing address

429 ATLANTIS
KYLE TX
78640-6027
US

V. Phone/Fax

Practice location:
  • Phone: 978-793-9749
  • Fax:
Mailing address:
  • Phone: 978-793-9749
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number16771
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: