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Dr. Billy Bob Coburn, DC
Chiropractor in Lake Jackson, Texas
NPI 1760674956

Billy Bob Coburn is a Chiropractor based in Lake Jackson, TX. Billy Bob Coburn practices in Lake Jackson, TX and has the professional credentials of DC. The NPI Number for Billy Bob Coburn is 1760674956 and holds a License No. 9981 (Texas).

The current practice location address for Billy Bob Coburn is 512 This Way St, Lake Jackson, TX and can be reached out via phone at 979-299-1898 and via fax at 979-299-3282.

Location: 512 This Way St, Lake Jackson, TX, 77566-5128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760674956
Provider Name
Billy Bob Coburn
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
512 This Way St, Lake Jackson, TX, 77566-5128
Phone Number
979-299-1898
Fax Number
979-299-3282
Provider Enumeration Date
08/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
512 This Way St
City
Lake Jackson
State
Texas
Zip
77566-5128
Phone Number
979-299-1898
Fax Number
979-299-3282
person
Provider Business Mailing Address Details
Address
512 This Way St
City
Lake Jackson
State
Texas
Zip
77566-5128
Phone Number
979-299-1898
Fax Number
979-299-3282
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
9981 (Texas)
Definition
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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