Provider Demographics
NPI:1194101170
Name:JAMIENNE PRICE, DC
Entity type:Organization
Organization Name:JAMIENNE PRICE, DC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMIENNE
Authorized Official - Middle Name:Y
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:804-306-0783
Mailing Address - Street 1:545 E JOHN CARPENTER FWY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-3931
Mailing Address - Country:US
Mailing Address - Phone:804-306-0783
Mailing Address - Fax:
Practice Address - Street 1:545 E JOHN CARPENTER FWY
Practice Address - Street 2:SUITE 300
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-3931
Practice Address - Country:US
Practice Address - Phone:804-306-0783
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-03
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12590111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty