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NPI Code Detail

MEDICARE: DR. JAMIE MICHELLE SARRA D.C.

MEDICARE: DR. JAMIE MICHELLE SARRA 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
1111N00000XChiropractor10207TX

General Provider Information

NPI Number : 1831202225
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMIE MICHELLE SARRA D.C.
Provider Business Mailing Address
First Line : 5629 FOXFIRE LN
Second Line :
City : THE COLONY
State : TX
Zip : 75056-3839
Country : US
Telephone Number : 972-370-0177
Fax Number :
Provider Business Practice Location Address
First Line : 1999 FOREST RIDGE DR
Second Line :
City : BEDFORD
State : TX
Zip : 76021-5724
Country : US
Telephone Number : 817-358-5880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2006
Last Update Date : 10/31/2007

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