Individual
DR. BILLY BOB COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
512 THIS WAY ST, LAKE JACKSON, TX 77566-5128
(979) 299-1898
(979) 299-3282
Mailing address
512 THIS WAY ST, LAKE JACKSON, TX 77566-5128
(979) 299-1898
(979) 299-3282
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9981
TX
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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