Valiant Life Medical PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

N1889 Issued in TX

Legal business name

VALIANT LIFE MEDICAL PLLC

Practice address

4830 South Fwy
Fort Worth, TX 76115-3901

Phone

(817) 926-0012

Fax

(817) 927-0533

NPI assigned

Jun 5, 2018

Last updated

Feb 8, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James Matthew Jernigan, DCNPI 1588773469

Title

Chiropractor

Phone

(817) 926-0012

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Matthew Jernigan, D.C.

  • Chiropractor
  • Fort Worth, TX
  • NPI 1588773469
  Authorized official Same address or phone
• Harold K Berenzweig, MD

  • Gastroenterology Physician
  • Fort Worth, TX
  • NPI 1114149325
  NPD (past)
• Virat Ramesh Dave, M.D.

  • Gastroenterology Physician
  • Fort Worth, TX
  • NPI 1679512370
  NPD (past)
• Ashley Whitener

  • Physical Medicine & Rehabilitation Physician
  • Fort Worth, TX
  • NPI 1396306130
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549584000000",
    "number": "1043702095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 SOUTH FWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761153901",
            "telephone_number": "817-926-0012",
            "fax_number": "817-927-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 SOUTH FWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761153901",
            "telephone_number": "817-926-0012",
            "fax_number": "817-927-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALIANT LIFE MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-05",
        "last_updated": "2019-02-08",
        "status": "A",
        "authorized_official_last_name": "JERNIGAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "817-926-0012",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "N1889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda Valenzuela, PHD
• Miranda Valera, CRNA
• Nicole Valetutto, FNP-C
• Valhalla Wellness
• Valhalla Wellness
• Ismael Valladares
• Kelly L Vallance, MD, MPH
• James Homer Vallaster, APRN FNP-BC
• Sergio Vallejo, PA-C
• Arturo Valles, MASTERS STUDENT AT

• General Practice Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.