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Dr. Jeffrey Lynn Wagnon, DC
Chiropractor in Mansfield, Texas
NPI 1366591356

Jeffrey Lynn Wagnon is a Chiropractor based in Mansfield, TX. Jeffrey Lynn Wagnon practices in Mansfield, TX and has the professional credentials of DC. The NPI Number for Jeffrey Lynn Wagnon is 1366591356 and holds a License No. 9382 (Texas).

The current practice location address for Jeffrey Lynn Wagnon is 309 Regency Pkwy Ste 205, Mansfield, TX and can be reached out via phone at 817-453-0430 and via fax at 817-453-0400.

Location: 309 Regency Pkwy Ste 205, Mansfield, TX, 76063-7305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366591356
Provider Name
Jeffrey Lynn Wagnon
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
309 Regency Pkwy Ste 205, Mansfield, TX, 76063-7305
Phone Number
817-453-0430
Fax Number
817-453-0400
Provider Enumeration Date
01/09/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8R1160 01 TX BLUE CROSS BLUE SHIELD #
institution
Provider Business Practice Location Address Details
Address
309 Regency Pkwy Ste 205
City
Mansfield
State
Texas
Zip
76063-7305
Phone Number
817-453-0430
Fax Number
817-453-0400
person
Provider Business Mailing Address Details
Address
309 Regency Pkwy Ste 205
City
Mansfield
State
Texas
Zip
76063-7305
Phone Number
817-453-0430
Fax Number
817-453-0400
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
9382 (Texas)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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