Andrew Jackson III
Chiropractic Sports Physician
460 S 14th St
Midlothian
, Texas 76065-3514
Andrew Jackson III
Chiropractic Sports Physician
460 S 14th St
Midlothian
, Texas 76065-3514
(972) 723-1111
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Andrew Jackson III
- 460 S 14th St
- Midlothian, TX
- Zip : 76065-3514
- Fax : (972) 723-1111
- Phone : (972) 723-1155
Second Address
- Andrew Jackson III
- 460 S 14th St
- Midlothian, TX
- Zip : 76065-3514
- Phone : (972) 723-1155
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | 13800 | TX |
National Provider Identifier
| NPI | 1134618820 |
|---|---|
| Provider Name | Andrew Jackson III |
| First Address | Midlothian, TX 76065-3514 |
| Second Address | Midlothian, TX 76065-3514 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/05/2018 |
| Last Update Date | 28/02/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.