Dr. Jackie Lynn Weaver is a Tyler, Texas based male chiropractor who is specialized as General Chiropractor. Active license number of Dr. Jackie Lynn Weaver as General Chiropractor is 6129 DC in Texas. Dr. Jackie Lynn Weaver is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Dr. Jackie Lynn Weaver speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
DC, PHARM D
Gender:
Male
Practice Address:
2726 W Gentry Pkwy, Tyler, Texas, 75702-1635
Phone:
903-593-2533
Fax:
903-593-2555
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1720072523
NPI Enumeration Date:
07 Sep, 2005
NPI Last Update On:
19 Jan, 2017
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jackie Lynn Weaver are as mentioned below.
License Number
Specialization
State
Status
6129 DC
Chiropractor
Texas
Primary
48560
Pharmacist
Texas
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jackie Lynn Weaver such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
001665101
Medicaid
Texas
8K1680
Other
BLUE CROSS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2726 W Gentry Pkwy, Tyler, Texas
Zip:
75702-1635
Phone Number:
903-593-2533
Fax Number:
903-593-2555
Patients can reach Dr. Jackie Lynn Weaver at 2726 W Gentry Pkwy, Tyler, Texas or can call to book an appointment on 903-593-2533. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.