=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336095041
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DIVINE TOUCH CHIROPRACTIC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/05/2026
-----------------------------------------------------
Last Update Date | 03/05/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1421 N HIGHWAY 67 # 200E
-----------------------------------------------------
City | CEDAR HILL
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75104-4019
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-249-9233
-----------------------------------------------------
Fax | 214-249-9241
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1421 N HIGHWAY 67 # 200E
-----------------------------------------------------
City | CEDAR HILL
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75104-4019
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-249-9233
-----------------------------------------------------
Fax | 214-249-9241
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIROPRACTOR/OWNER
-----------------------------------------------------
Name | SAMUEL JUMBO
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 682-433-3115
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------