MEDICARE: DR. JASON AUBREY WATKINS 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	7354	TX

General Provider Information

NPI Number	:	1548210537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASON AUBREY WATKINS D.C.

Provider Business Mailing Address
First Line	:	3636 N MACARTHUR BLVD
Second Line	:	SUITE 185
City	:	IRVING
State	:	TX
Zip	:	75062-3637
Country	:	US
Telephone Number	:	972-255-2225
Fax Number	:	972-255-0905

Provider Business Practice Location Address
First Line	:	3636 N MACARTHUR BLVD
Second Line	:	SUITE 185
City	:	IRVING
State	:	TX
Zip	:	75062-3637
Country	:	US
Telephone Number	:	972-255-2225
Fax Number	:	972-255-0905

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

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	09/27/2012

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