Provider Demographics
NPI:1215225107
Name:HARRISON, JONATHON (DC)
Entity type:Individual
Prefix:DR
First Name:JONATHON
Middle Name:
Last Name:HARRISON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 SUNCREEK DR
Mailing Address - Street 2:#400
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-2833
Mailing Address - Country:US
Mailing Address - Phone:214-215-4119
Mailing Address - Fax:214-310-1408
Practice Address - Street 1:107 SUNCREEK DR
Practice Address - Street 2:#400
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-2833
Practice Address - Country:US
Practice Address - Phone:214-215-4119
Practice Address - Fax:214-310-1408
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-13
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11797111NP0017X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor