Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 1045 | TX |
NPI | 1225197171 |
---|---|
Provider Name | Scott D Jameson |
First Address | Abilene, TX 79602 |
Second Address | Abilene, TX 79605-4603 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2006 |
Last Update Date | 08/07/2007 |