Dement Chiropractic & Fitness Center
Organization Active NPI Chiropractor · Jacksonville, TX
NPI 1174532709 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1174532709
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 7278-DC (TX)
- Legal business name
- DEMENT CHIROPRACTIC & FITNESS CENTER
- Practice address
- 2045 S Jackson St
Jacksonville, TX 75766-5821 - Phone
- (903) 589-5301
- Fax
- (903) 586-1561
- NPI assigned
- Aug 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Charles Dement, D.C.
- Title
- Owner
- Phone
- (903) 589-5301
National Provider Directory
Locations
2045 S Jackson St
Jacksonville, TX 75766
Phone (903) 586-3667
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 7278-DC | TX | Yes |
Addresses
Primary practice location
2045 S Jackson St
Jacksonville, TX 75766-5821
Mailing address
2045 S Jackson St
Jacksonville, TX 75766-5821
Phone (903) 589-5301
Other providers in Jacksonville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.