Billy Bob Coburn in Lake Jackson - Chiropractor

Billy Bob Coburn - NPI 1760674956

Billy Bob Coburn is a Chiropractor in Lake Jackson, Texas. Billy Bob Coburn practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Billy Bob Coburn is 1760674956. The last update date is 2007-08-13.

Billy Bob Coburn's current location address is 512 This Way St, Lake Jackson, Texas. You can contact this provider via phone number 9792991898 and fax number 9792993282. The mailing address for Billy Bob Coburn is 512 This Way St, Lake Jackson, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Billy Bob Coburn
Address 512 This Way St, Lake Jackson, Texas
Phone Number 9792991898
Fax Number 9792993282
Sole Proprietor N
Credentials DC

NPI Number Detail

NPI Number 1760674956
Provider Enumeration Date 2007-08-13
Last Updated Date 2007-08-13

Provider Mailing Address Detail

Address 512 This Way St
City Lake Jackson
State Texas (TX)
Post Code 775665128
Phone Number 9792991898
Fax Number 9792993282

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 9981
Definition:
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 inte

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FAQs about Billy Bob Coburn

What is the unique provider identifier assigned to Billy Bob Coburn?

The Billy Bob Coburn has been issued the NPI (National Provider Identifier) 1760674956 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Billy Bob Coburn's facilities are geographically located?

The facilities of Billy Bob Coburn are physically situated at the following location: 512 This Way St, Lake Jackson, TX, 775665128.

What is the area of specialization for Billy Bob Coburn, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Billy Bob Coburn is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.

When did the Billy Bob Coburn receive its 1760674956?

The Billy Bob Coburn was issued its 1760674956 on 2007-08-13, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Billy Bob Coburn, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Billy Bob Coburn, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-08-13.

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