Provider Demographics
| NPI: | 1881816874 |
|---|---|
| Name: | GARRETT, JASON JAMES (DC) |
| Entity type: | Individual |
| Prefix: | DR |
| First Name: | JASON |
| Middle Name: | JAMES |
| Last Name: | GARRETT |
| Suffix: | |
| Gender: | M |
| 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: | PO BOX 700688 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | SAN ANTONIO |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 78270-0688 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 210-318-3007 |
| Mailing Address - Fax: | 210-468-0682 |
| Practice Address - Street 1: | 111 TOWER DR BLDG 1 |
| Practice Address - Street 2: | |
| Practice Address - City: | SAN ANTONIO |
| Practice Address - State: | TX |
| Practice Address - Zip Code: | 78232-3625 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 800-404-6050 |
| Practice Address - Fax: | 866-313-3397 |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2007-05-02 |
| Last Update Date: | 2023-01-10 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| TX | 9511 | 111NS0005X |
| TX | 09511 | 111NR0400X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 111NR0400X | Chiropractic Providers | Chiropractor | Rehabilitation |
| No | 111NS0005X | Chiropractic Providers | Chiropractor | Sports Physician |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| NY | 013453 | Other | CHIROPRACTIC LICENSE |
| TN | 3107 | Other | CHIROPRACTIC LICENSE |
| CA | 33637 | Other | CHIROPRACTIC LICENSE |
| ID | CHIA-2052 | Other | CHIROPRACTIC LICENSE |
| HI | DC-1505-0 | Other | CHIROPRACTIC LICENSE |
| KS | HCSFGARRETT | Other | CHIROPRACTIC LICENSE |
| IN | TS0000531 | Other | CHIROPRACTIC LICENSE |
| KS | 01-06123 | Other | CHIROPRACTIC LICENSE |
| AR | 16276 | Other | CHIROPRACTIC LICENSE |
| AL | 2668 | Other | CHIROPRACTIC LICENSE |
| AZ | 8999 | Other | CHIROPRACTIC LICENSE |
| GA | CHIR010454 | Other | CHIROPRACTIC LICENSE |
| ND | 1141 | Other | CHIROPRACTIC LICENSE |
| LA | 1916 | Other | CHIROPRACTIC LICENSE |
| SC | 4665 | Other | CHIROPRACTIC LICENSE |
| NV | B01896 | Other | CHIROPRACTIC LICENSE |
| DC | CH030223 | Other | CHIROPRACTIC LICENSE |
| RI | DCP00685 | Other | CHIROPRACTIC LICENSE |
| IL | 038.013637 | Other | CHIROPRACTIC LICENSE |
| IN | 08003234A | Other | CHIROPRACTIC LICENSE |
| TX | 09511 | Other | CHIROPRACTIC LICENSE |
| NH | 1080 | Other | CHIROPRACTIC LICENSE |
| CT | 2216 | Other | CHIROPRACTIC LICENSE |
| MI | 2301011079 | Other | CHIROPRACTIC LICENSE |
| FL | CH13333 | Other | CHIROPRACTIC LICENSE |
| WA | CH61104769 | Other | CHIROPRACTIC LICENSE |
| ME | CR2677 | Other | CHIROPRACTIC LICENSE |
| NM | DC2260 | Other | CHIROPRACTIC LICENSE |
| MS | 001337 | Other | CHIROPRACTIC LICENSE |
| VT | 006.0134151 | Other | CHIROPRACTIC LICENSE |
| IA | 105973 | Other | CHIROPRACTIC LICENSE |
| UT | 11936522-1202 | Other | CHIROPRACTIC LICENSE |
| MO | 2020040067 | Other | CHIROPRACTIC LICENSE |
| WI | 5665-12 | Other | CHIROPRACTIC LICENSE |
| MT | CHI-CHI-LIC-6710 | Other | CHIROPRACTIC LICENSE |
| SD | 1405 | Other | CHIROPRACTIC LICENSE |
| KY | 265421 | Other | CHIROPRACTIC LICENSE |
| NC | 5245 | Other | CHIROPRACTIC LICENSE |
| FL | CH10242 | Other | CHIROPRACTIC LICENSE |
| CO | CHR.0006829 | Other | CHIROPRACTIC LICENSE |
| VA | 0104557701 | Other | CHIROPRACTIC LICENSE |
| MD | 04079 | Other | CHIROPRACTIC LICENSE |
| NE | 2070 | Other | CHIROPRACTIC LICENSE |
| OH | DC-05024 | Other | CHIROPRACTIC LICENSE |
| MA | 3735 | Other | CHIROPRACTIC LICENSE |
| OK | 3894 | Other | CHIROPRACTIC LICENSE |
| NJ | 38MC00776800 | Other | CHIROPRACTIC LICENSE |
| MN | 6852 | Other | CHIROPRACTIC LICENSE |
| PA | DC011648 | Other | CHIROPRACTIC LICENSE |
| DE | F1-0011043 | Other | CHIROPRACTIC LICENSE |
