Individual provider · Type 1 NPI

Jacob C. Hamblen, DC

Chiropractor · Grand Prairie, TX

NPI number 1063908390 Active

Practice location

4560 Lake Ridge Pkwy Ste 200
Grand Prairie, TX 75052-1706

Fax (866) 313-3397

Mailing address

PO Box 700688
San Antonio, TX 78270-0688

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X13812 (TX)

Chiropractor: 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 interrelationship with other body systems.

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About NPI 1063908390

Jacob C. Hamblen, DC's National Provider Identifier is 1063908390, issued on Jul 10, 2018. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Grand Prairie, TX. The record was last updated on Jul 10, 2019.