MEDICARE: JEFFREY CARL PEDERSEN 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	4106	TX

General Provider Information

NPI Number	:	1639161516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY CARL PEDERSEN D.C.

Provider Business Mailing Address
First Line	:	2920 W PARK ROW DR
Second Line	:	#100
City	:	PANTEGO
State	:	TX
Zip	:	76013-2041
Country	:	US
Telephone Number	:	817-277-1111
Fax Number	:	817-861-4593

Provider Business Practice Location Address
First Line	:	2920 W PARK ROW DR
Second Line	:	#100
City	:	PANTEGO
State	:	TX
Zip	:	76013-2041
Country	:	US
Telephone Number	:	817-277-1111
Fax Number	:	817-861-4593

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

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	01/29/2025

Similar Medicare Providers

1730182999 — TURNARE LTD.
Practice Location Address:

2900 W PARK ROW DR
PANTEGO, TX
76013-2049

Practice Phone: 817-548-8206
Practice Fax: 817-861-8110

1255330577 — DR. ROBERT THURSTON ALDRIDGE D.C.
Practice Location Address:

2401 W PIONEER PKWY , SUITE 145
PANTEGO, TX
76013-6056

Practice Phone: 817-299-0200
Practice Fax: 817-299-0207

1093794208 — DR. RANDALL MARTIN KAHAN LCSW, LCDC, BCD
Practice Location Address:

3337 W PIONEER PKWY
PANTEGO, TX
76013-4603

Practice Phone: 817-274-0981
Practice Fax: 817-274-9712

1578521258 — TENDER HEART HOME HEALTH, LLC
Practice Location Address:

3210 W PARK ROW DR
PANTEGO, TX
76013-3136

Practice Phone: 817-265-0066
Practice Fax: 817-265-0089

1659398790 — WAL-MART STORES TEXAS LLC
Practice Location Address:

2610 W PIONEER PKWY
PANTEGO, TX
76013-5904

Practice Phone: 817-303-4302
Practice Fax:

1295756831 — TOWN OF PANTEGO
Practice Location Address:

1614 S BOWEN RD
PANTEGO, TX
76013-3336

Practice Phone: 817-274-1384
Practice Fax: 817-274-2511

Directions to “ JEFFREY CARL PEDERSEN D.C.” 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.