MEDICARE: DR. JAMES WARREN HALEY III DC

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	14829	TX

General Provider Information

NPI Number	:	1548933989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES WARREN HALEY III DC

Provider Business Mailing Address
First Line	:	9191 GARLAND RD APT 632
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75218-3972
Country	:	US
Telephone Number	:	254-396-1869
Fax Number	:

Provider Business Practice Location Address
First Line	:	6901 SNIDER PLZ STE 140
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75205-5651
Country	:	US
Telephone Number	:	214-252-0000
Fax Number	:

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

Provider Enumeration Date	:	07/30/2021
Last Update Date	:	07/30/2021

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