Individual
MR. EDDY JASON RABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
410 E LENNON, STE D, EMORY, TX 75440
(903) 473-0133
(903) 473-0136
Mailing address
PO BOX 505, EMORY, TX 75440
(903) 473-0133
(903) 473-0136
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6749
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
607011
BCBS
TX
Enumeration date
06/29/2006
Last updated
07/08/2007
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