Provider Demographics
NPI:1225603129
Name:STEPTER, JERICA (DC)
Entity type:Individual
Prefix:
First Name:JERICA
Middle Name:
Last Name:STEPTER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5747 SADLER CIR APT 2305
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-6804
Mailing Address - Country:US
Mailing Address - Phone:225-337-1371
Mailing Address - Fax:
Practice Address - Street 1:460 S 14TH ST
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-3514
Practice Address - Country:US
Practice Address - Phone:972-723-1155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-24
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14745111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor