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General NPI Number Information
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NPI Number | 1831202225
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Entity Type | Individual
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Provider Name | JAMIE MICHELLE SARRA D.C.
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Gender | Female
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 10/31/2007
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Provider Practice Location Address
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Address Line | 1999 FOREST RIDGE DR
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City | BEDFORD
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State | TX
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Zip | 76021-5724
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Country | US
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Telephone | 817-358-5880
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Fax |
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Provider Business Mailing Address
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Address Line | 5629 FOXFIRE LN
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City | THE COLONY
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State | TX
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Zip | 75056-3839
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Country | US
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Telephone | 972-370-0177
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 10207
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License Number State | TX
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