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
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 13812 (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.
3 other providers at this address
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- Chelsea Mae Kohutek, DCChiropractor Grand Prairie, TX NPI 1215689765
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.