Billy Bob Coburn, DC Valid NPI
Individual provider · Chiropractor · Lake Jackson, TX
- NPI
- 1760674956
- Type
- Individual (Type 1)
- Primary specialty
- Chiropractor
- Specialty group
- Chiropractic Providers
- Taxonomy code
- 111N00000X
- License number
- 9981 (TX)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-08-13
- Last updated
- 2007-08-13
Practice location
512 This Way St
Lake Jackson, TX 77566-5128
(979) 299-1898