Organization
COBURN CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILLY BOB COBURN D.C (DOCTOR)
(979) 299-1898
Entity
Organization
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
261Q00000X
Clinic/Center
Primary
9981
TX
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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