| Coburn Chiropractic Center | |
|
512 This Way St Lake Jackson TX 77566-5128 | |
| (979) 299-1898 | |
| (979) 299-3282 |
| Full Name | Coburn Chiropractic Center |
|---|---|
| Speciality | Clinic/center |
| Location | 512 This Way St, Lake Jackson, Texas |
| Authorized Official Name and Position | Billy Bob Coburn (DOCTOR) |
| Authorized Official Contact | 9792991898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coburn Chiropractic Center 512 This Way St Lake Jackson TX 77566-5128 Ph: (979) 299-1898 | Coburn Chiropractic Center 512 This Way St Lake Jackson TX 77566-5128 Ph: (979) 299-1898 |
| NPI Number | 1841693421 |
|---|---|
| Provider Enumeration Date | 09/26/2014 |
| Last Update Date | 09/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841693421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 9981 (Texas) | Primary |
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