Jim Bob Haggerton (NPI# 1851300115, PAC ID# 3779567789) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1851300115 |
| PAC ID by PECOS | 3779567789 |
| Professional Enrollment ID | I20040616001407 |
| Full Name | Jim Bob Haggerton |
| Organization Legal Name | LIFETIME FAMILY WELLNESS INC |
| Address |
1813 Harwood Ct Hurst TX 76054-3190 |
| Phone Number | 8174289595 |
| Gender | M |
| Credential | DC |
| Graduation Year | 2003 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 0042368573 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1813 Harwood Ct, Hurst, TX 76054-3190 | 8174289595 | LIFETIME FAMILY WELLNESS INC |
| Organization Legal Name | LIFETIME FAMILY WELLNESS INC |
| Physicians | 1 |
| Street Address |
1813 HARWOOD CT |
| City | HURST |
| State | TX |
| Zip | 76054-3190 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynn R Herr | Psychologist, Clinical | Deer Oaks Geriatric Services P C | 2712 Hurstview Dr, Hurst, TX 76054-2402 |
| Randall E Wonderlich | Chiropractic | 124 Grapevine Hwy, Suite E, Hurst, TX 76054-2403 | |
| Michael A. Ganschow | Chiropractic | 104 Grapevine Hwy 400, Hurst, TX 76054-2438 | |
| Michael James Deitchman | Pediatric Medicine | Cook Childrens Physician Network | 731 Martin Rd, Hurst, TX 76054-2703 |
| Meredith Cowlishaw Drake | Pediatric Medicine | Cook Childrens Physician Network | 731 Martin Rd, Hurst, TX 76054-2703 |
| Bill Risk | Urology | Diagnostex Consultants Pllc | 500 Grapevine Hwy 106, Hurst, TX 76054-2707 |
| Roy W Turner | Family Medicine | Diagnostex Consultants Pllc | 500 Grapevine Hwy 106, Hurst, TX 76054-2707 |
| Steven G Morrell | General Practice | Diagnostex Consultants Pllc | 500 Grapevine Hwy 106, Hurst, TX 76054-2707 |
| Steven L Shilling | Cardiovascular Disease (cardiology) | Diagnostex Consultants Pllc | 500 Grapevine Hwy 106, Hurst, TX 76054-2707 |
| Angel G Negron | Hematology/oncology | Diagnostex Consultants Pllc | 500 Grapevine Hwy 106, Hurst, TX 76054-2707 |
| Find all physicians in zip 76054 | |||
| City | HURST |
| Zip Code | 76054 |
| Specialty | CHIROPRACTIC |
| City + Specialty | HURST + CHIROPRACTIC |
Please comment or provide details below to improve the information on Jim Bob Haggerton.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.