MEDICARE: DR. LEAH MELISSA JAMESON 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	5706	TX

General Provider Information

NPI Number	:	1730525387
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEAH MELISSA JAMESON D.C.

Provider Business Mailing Address
First Line	:	14405 WALTERS RD
Second Line	:	SUITE 1005
City	:	HOUSTON
State	:	TX
Zip	:	77014-1337
Country	:	US
Telephone Number	:	281-580-9355
Fax Number	:	281-580-1616

Provider Business Practice Location Address
First Line	:	14405 WALTERS RD
Second Line	:	SUITE 1005
City	:	HOUSTON
State	:	TX
Zip	:	77014-1337
Country	:	US
Telephone Number	:	281-580-9355
Fax Number	:	281-580-1616

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

Provider Enumeration Date	:	05/21/2013
Last Update Date	:	05/21/2013

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