MEDICARE: DR. JASON JAMES GARRETT 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	111NS0005X	Sports Physician Chiropractor	9511	TX
2	111NR0400X	Rehabilitation Chiropractor	09511	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	013453	OTHER	NY	CHIROPRACTIC LICENSE
2	3107	OTHER	TN	CHIROPRACTIC LICENSE
3	33637	OTHER	CA	CHIROPRACTIC LICENSE
4	CHIA-2052	OTHER	ID	CHIROPRACTIC LICENSE
5	DC-1505-0	OTHER	HI	CHIROPRACTIC LICENSE
6	HCSFGARRETT	OTHER	KS	CHIROPRACTIC LICENSE
7	TS0000531	OTHER	IN	CHIROPRACTIC LICENSE
8	01-06123	OTHER	KS	CHIROPRACTIC LICENSE
9	16276	OTHER	AR	CHIROPRACTIC LICENSE
10	2668	OTHER	AL	CHIROPRACTIC LICENSE
11	8999	OTHER	AZ	CHIROPRACTIC LICENSE
12	CHIR010454	OTHER	GA	CHIROPRACTIC LICENSE
13	1141	OTHER	ND	CHIROPRACTIC LICENSE
14	1916	OTHER	LA	CHIROPRACTIC LICENSE
15	4665	OTHER	SC	CHIROPRACTIC LICENSE
16	B01896	OTHER	NV	CHIROPRACTIC LICENSE
17	CH030223	OTHER	DC	CHIROPRACTIC LICENSE
18	DCP00685	OTHER	RI	CHIROPRACTIC LICENSE
19	038.013637	OTHER	IL	CHIROPRACTIC LICENSE
20	08003234A	OTHER	IN	CHIROPRACTIC LICENSE
21	09511	OTHER	TX	CHIROPRACTIC LICENSE
22	1080	OTHER	NH	CHIROPRACTIC LICENSE
23	2216	OTHER	CT	CHIROPRACTIC LICENSE
24	2301011079	OTHER	MI	CHIROPRACTIC LICENSE
25	CH13333	OTHER	FL	CHIROPRACTIC LICENSE
26	CH61104769	OTHER	WA	CHIROPRACTIC LICENSE
27	CR2677	OTHER	ME	CHIROPRACTIC LICENSE
28	DC2260	OTHER	NM	CHIROPRACTIC LICENSE
29	001337	OTHER	MS	CHIROPRACTIC LICENSE
30	006.0134151	OTHER	VT	CHIROPRACTIC LICENSE
31	105973	OTHER	IA	CHIROPRACTIC LICENSE
32	11936522-1202	OTHER	UT	CHIROPRACTIC LICENSE
33	2020040067	OTHER	MO	CHIROPRACTIC LICENSE
34	5665-12	OTHER	WI	CHIROPRACTIC LICENSE
35	CHI-CHI-LIC-6710	OTHER	MT	CHIROPRACTIC LICENSE
36	1405	OTHER	SD	CHIROPRACTIC LICENSE
37	265421	OTHER	KY	CHIROPRACTIC LICENSE
38	5245	OTHER	NC	CHIROPRACTIC LICENSE
39	CH10242	OTHER	FL	CHIROPRACTIC LICENSE
40	CHR.0006829	OTHER	CO	CHIROPRACTIC LICENSE
41	0104557701	OTHER	VA	CHIROPRACTIC LICENSE
42	04079	OTHER	MD	CHIROPRACTIC LICENSE
43	2070	OTHER	NE	CHIROPRACTIC LICENSE
44	DC-05024	OTHER	OH	CHIROPRACTIC LICENSE
45	3735	OTHER	MA	CHIROPRACTIC LICENSE
46	3894	OTHER	OK	CHIROPRACTIC LICENSE
47	38MC00776800	OTHER	NJ	CHIROPRACTIC LICENSE
48	6852	OTHER	MN	CHIROPRACTIC LICENSE
49	DC011648	OTHER	PA	CHIROPRACTIC LICENSE
50	F1-0011043	OTHER	DE	CHIROPRACTIC LICENSE

General Provider Information

NPI Number	:	1881816874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASON JAMES GARRETT D.C.

Provider Business Mailing Address
First Line	:	PO BOX 700688
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78270-0688
Country	:	US
Telephone Number	:	210-318-3007
Fax Number	:	210-468-0682

Provider Business Practice Location Address
First Line	:	111 TOWER DR BLDG 1
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-3625
Country	:	US
Telephone Number	:	800-404-6050
Fax Number	:	866-313-3397

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

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	01/10/2023

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