Dr. Jackie Lynn Weaver is a pharmacist who is specialized in Chiropractor in Tyler, Texas. Patients can reach him at 2726 W Gentry Pkwy, Tyler or contact him on 903-593-2533. Active license number of Dr. Jackie Lynn Weaver is 6129 DC for Chiropractor in Texas. Dr. Jackie Lynn Weaver is a provider qualified by 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 call on the below given phone number for enquiries.
Name:
Dr. Jackie Lynn Weaver
Specialization:
Chiropractor
Credentials:
DC, PHARM D
Gender:
Male
Location:
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 of Dr. Jackie Lynn Weaver are as mentioned below.
NPI Number:
1720072523
NPI Enumeration Date:
07 Sep, 2005
NPI Last Update On:
19 Jan, 2017
Medical Licenses:
Pharmacists 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.
Specialization
License Number
State
Status
Chiropractor
6129 DC
Texas
Primary
Pharmacist
48560
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 on phone at 903-593-2533.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.