Individual provider · Type 1 NPI

Billy Bob Coburn, DC

Chiropractor · Lake Jackson, TX

NPI number 1760674956 Active

Practice location

512 This Way St
Lake Jackson, TX 77566-5128

Fax (979) 299-3282

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X9981 (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 1760674956

Billy Bob Coburn, DC's National Provider Identifier is 1760674956, issued on Aug 13, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Lake Jackson, TX. The record was last updated on Aug 13, 2007.