| Dr Jason Hennen, DC | |
|
4105 W Spring Creek Pkwy Ste 510, Plano, TX 75024-5294 | |
| (972) 599-9200 | |
| Not Available |
| Full Name | Dr Jason Hennen |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 4105 W Spring Creek Pkwy Ste 510, Plano, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487125779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 13849 (Texas) | Primary |
| Provider Name | Bailey Cruze Premier Health Chiropractic, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083274203 PECOS PAC ID: 5597136804 Enrollment ID: O20230125000344 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jason Hennen, DC 4105 W Spring Creek Pkwy Ste 510, Plano, TX 75024-5294 Ph: (415) 503-7935 | Dr Jason Hennen, DC 4105 W Spring Creek Pkwy Ste 510, Plano, TX 75024-5294 Ph: (972) 599-9200 |
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