MEDICARE: FAITH CHIROPRACTIC CLINIC PLLC

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	9275	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	200547433T	OTHER	TX	BCBS
2	8BQ250	OTHER	TX	BLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number	:	1013088673
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAITH CHIROPRACTIC CLINIC PLLC

Provider Business Mailing Address
First Line	:	5801 M D LOVE FRWY
Second Line	:	SUITE 305
City	:	DALLAS
State	:	TX
Zip	:	75237
Country	:	US
Telephone Number	:	214-330-9596
Fax Number	:	214-330-9588

Provider Business Practice Location Address
First Line	:	5801 M D LOVE FRWY
Second Line	:	SUITE 305
City	:	DALLAS
State	:	TX
Zip	:	75237
Country	:	US
Telephone Number	:	214-330-9596
Fax Number	:	214-330-9588

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JERRI JOHNSON
Credential	:	DC
Telephone Number	:	214-330-9596

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	05/21/2009

Similar Medicare Providers

1841226750 — PAULA R LEWIS DO
Practice Location Address:

7992 W VIRGINIA DR
DALLAS, TX
75237-3764

Practice Phone: 972-668-7460
Practice Fax:

1538092028 — CHASE ELI SUMMERS
Practice Location Address:

3450 BAINBRIDGE DR
DALLAS, TX
75237-2811

Practice Phone: 972-572-3001
Practice Fax:

1003819921 — MEDFUND LLC
Practice Location Address:

4041 W WHEATLAND RD , STE 178
DALLAS, TX
75237-4061

Practice Phone: 972-283-4727
Practice Fax: 972-283-9766

1568465136 — MS. KATHY ADRIANNE COOK PORTER NP
Practice Location Address:

3450 W WHEATLAND RD STE 440
DALLAS, TX
75237-4417

Practice Phone: 972-298-4300
Practice Fax: 972-298-8903

1609870336 — DESOTO SURGICARE PARTNERS, LTD
Practice Location Address:

7992 W VIRGINIA DR
DALLAS, TX
75237-3764

Practice Phone: 972-283-2400
Practice Fax: 972-283-0099

1457358111 — DR. SUNEET VERMA MD
Practice Location Address:

3571 W WHEATLAND RD STE 101
DALLAS, TX
75237-3461

Practice Phone: 215-728-6900
Practice Fax: 605-336-1677

1952309973 — DR. RONNIE D SHADE M.D.
Practice Location Address:

7310 S WESTMORELAND RD STE 1
DALLAS, TX
75237-2998

Practice Phone: 214-337-4700
Practice Fax: 972-709-2847

Directions to “FAITH CHIROPRACTIC CLINIC PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.