Individual
DR. JEFFRY VINCENT POPHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
929 LOOP 332, LIBERTY HILL, TX 78642-0037
(512) 778-5500
(512) 778-5500
Mailing address
PO BOX 37, 929 LOOP 332, LIBERTY HILL, TX 78642-0037
(512) 778-5500
(512) 778-5500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC4366
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
601658
BLUE CROSS BLUE SHIELD #
TX
Enumeration date
01/18/2007
Last updated
04/03/2009
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