Bradley Raymond Koby in Pasadena - Sports Physician
Bradley Raymond Koby - NPI 1942202072
Bradley Raymond Koby is a Sports Physician in Pasadena, Texas. Bradley Raymond Koby practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Bradley Raymond Koby is 1942202072. The last update date is 2007-07-08.
Bradley Raymond Koby's current location address is 5912 Spencer Hwy, Pasadena, Texas. You can contact this provider via phone number 2819985701 and fax number 2814876768. The mailing address for Bradley Raymond Koby is 5912 Spencer Hwy, Pasadena, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Raymond Koby |
|---|---|
| Address | 5912 Spencer Hwy, Pasadena, Texas |
| Phone Number | 2819985701 |
| Fax Number | 2814876768 |
| Sole Proprietor | X |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1942202072 |
|---|---|
| Provider Enumeration Date | 2005-06-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5912 Spencer Hwy |
|---|---|
| City | Pasadena |
| State | Texas (TX) |
| Post Code | 7750516020 |
| Phone Number | 2819985701 |
| Fax Number | 2814876768 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 9546 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Post Comment/ Review Below
What is the Bradley Raymond Koby's unique identification number?
The Bradley Raymond Koby has been assigned the NPI (National Provider Identifier) Number 1942202072 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Bradley Raymond Koby's facilities are geographically located?
The facilities of Bradley Raymond Koby are physically situated at the following location: 5912 Spencer Hwy, Pasadena, TX, 7750516020.
What is Bradley Raymond Koby's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bradley Raymond Koby's specialized field of practice is Sports Physician, and the corresponding taxonomy code that categorizes this area of specialization is 111Ns0005X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1942202072 to Bradley Raymond Koby?
The Centers for Medicare & Medicaid Services originally issued the 1942202072 to Bradley Raymond Koby on 2005-06-01.
When was the information related to Bradley Raymond Koby most recently updated or refreshed?
The details pertaining to the Bradley Raymond Koby, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.