MEDICARE: JORDAN DANIEL RASCH

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	111NS0005X	Sports Physician Chiropractor	15033	TX

General Provider Information

NPI Number	:	1740934355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORDAN DANIEL RASCH

Provider Business Mailing Address
First Line	:	14155 DALLAS PKWY APT 1353
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75254-4450
Country	:	US
Telephone Number	:	618-530-3694
Fax Number	:

Provider Business Practice Location Address
First Line	:	4302 W LOVERS LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75209-2804
Country	:	US
Telephone Number	:	214-862-1469
Fax Number	:

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

Provider Enumeration Date	:	02/11/2022
Last Update Date	:	02/11/2022

Similar Medicare Providers

1639470636 — MARK JOHNSON
Practice Location Address:

4314 W LOVERS LN
DALLAS, TX
75209-2804

Practice Phone: 214-432-6624
Practice Fax:

1114219664 — MR. BLAKE K WU D.C.
Practice Location Address:

4302 W LOVERS LN
DALLAS, TX
75209-2804

Practice Phone: 214-862-1469
Practice Fax: 855-950-0085

1700035821 — TEXAS CDS & SUPPORT SERVICES
Practice Location Address:

10636 CAYUGA DR
DALLAS, TX
75228-2804

Practice Phone: 214-660-8507
Practice Fax:

1437970456 — BLAISE REBECCA GRIESEL MSCN, LN
Practice Location Address:

2804 DALLAS ST NE
ALBUQUERQUE, NM
87110-2708

Practice Phone: 505-382-3297
Practice Fax:

1144104597 — KRISTEN DOSHIER LCSW
Practice Location Address:

4305 MACARTHUR AVE
DALLAS, TX
75209-6511

Practice Phone: 214-526-4525
Practice Fax: 214-520-6468

1427828805 — MELISSA SORELLE MS, LPC-A
Practice Location Address:

4305 MACARTHUR AVE
DALLAS, TX
75209-6511

Practice Phone: 214-526-4525
Practice Fax: 214-520-6468

Directions to “ JORDAN DANIEL RASCH ” 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 © 2007-2025 (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.