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Dr. Breonka Latroya Jackson, DC
Chiropractor in Dallas, Texas
NPI 1992397434

Breonka Latroya Jackson is a Chiropractor based in Dallas, TX. Breonka Latroya Jackson practices in Dallas, TX and has the professional credentials of DC. The NPI Number for Breonka Latroya Jackson is 1992397434 and holds a License No. 14680 (Texas).

The current practice location address for Breonka Latroya Jackson is 10464 E Northwest Hwy Ste A, Dallas, TX and can be reached out via phone at 214-324-5800 and via fax at 214-324-5838.

Location: 10464 E Northwest Hwy Ste A, Dallas, TX, 75238-4608
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992397434
Provider Name
Breonka Latroya Jackson
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
10464 E Northwest Hwy Ste A, Dallas, TX, 75238-4608
Phone Number
214-324-5800
Fax Number
214-324-5838
Provider Enumeration Date
02/05/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
930211324 01 AR DIVER'S LICENSE
institution
Provider Business Practice Location Address Details
Address
10464 E Northwest Hwy Ste A
City
Dallas
State
Texas
Zip
75238-4608
Phone Number
214-324-5800
Fax Number
214-324-5838
person
Provider Business Mailing Address Details
Address
10464 E Northwest Hwy Ste A
City
Dallas
State
Texas
Zip
75238-4608
Phone Number
214-324-5800
Fax Number
214-324-5838
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
14680 (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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