Provider Demographics
NPI:1023036555
Name:PALMER, PAUL BYRON (DC)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:BYRON
Last Name:PALMER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3525 FM 1960 RD E
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-5317
Mailing Address - Country:US
Mailing Address - Phone:281-540-1018
Mailing Address - Fax:281-540-7581
Practice Address - Street 1:3525 FM 1960 RD E
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-5317
Practice Address - Country:US
Practice Address - Phone:281-540-1018
Practice Address - Fax:281-540-7581
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2010-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC3058111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8A8127OtherBCBS
U15149Medicare UPIN
TX8L18958Medicare PIN
TX8A8127OtherBCBS