MEDICARE: JAMIE KAE STOREY D.C.

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	10867	TX

General Provider Information

NPI Number	:	1316119225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE KAE STOREY D.C.

Provider Business Mailing Address
First Line	:	800 W AIRPORT FWY STE 959
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75062-6312
Country	:	US
Telephone Number	:	972-849-6629
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 W AIRPORT FWY STE 959
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75062-6312
Country	:	US
Telephone Number	:	972-849-6629
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2008
Last Update Date	:	09/14/2019

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