Provider Demographics
NPI:1962773796
Name:WEST, JAMI (DC)
Entity type:Individual
Prefix:DR
First Name:JAMI
Middle Name:
Last Name:WEST
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 KIOWA DR W
Mailing Address - Street 2:SUITE 301
Mailing Address - City:LAKE KIOWA
Mailing Address - State:TX
Mailing Address - Zip Code:76240-9584
Mailing Address - Country:US
Mailing Address - Phone:940-668-8755
Mailing Address - Fax:940-222-6742
Practice Address - Street 1:100 KIOWA DR W
Practice Address - Street 2:SUITE 301
Practice Address - City:LAKE KIOWA
Practice Address - State:TX
Practice Address - Zip Code:76240-9584
Practice Address - Country:US
Practice Address - Phone:940-668-8755
Practice Address - Fax:940-222-6742
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-25
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX12197111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX263573Medicare PIN