Individual
DR. JAY BOB HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
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
—
176522401
—
TX
01
—
608066
BCBS
TX
Enumeration date
08/02/2005
Last updated
06/30/2014
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