Organization
JAY BOB HANEY
Active
Other names
Accident and Injury Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY BOB HANEY D.C. (OWNER)
(432) 445-4878
Entity
Organization
Contact information
Practice address
1309 W 3RD ST, PECOS, TX 79772-2826
(432) 445-4878
(432) 445-4835
Mailing address
1309 W 3RD ST, PECOS, TX 79772-2826
(432) 445-4878
(432) 445-4835
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8354
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176521601
—
TX
Enumeration date
10/18/2007
Last updated
06/11/2008
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