Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jack A Pedersen, DC

Individual provider Chiropractor · NPI 1164484895

Dr. Jack A Pedersen, DC is a Chiropractor in Colleyville, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

7155 Colleyville Blvd Ste 103
Colleyville, TX 76034-8003
Phone: (817) 251-7328
Fax: (817) 421-7380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 2471 (TX)

Record details

NPI number1164484895
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedApril 6, 2006
Last updated in NPPESJanuary 5, 2015
Mailing address7155 Colleyville Blvd, Ste 103, Colleyville, TX 76034-8003

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