Provider Demographics
NPI:1164513511
Name:DOWNS, JEFFERY SCOTT (DC)
Entity Type:Individual
Prefix:
First Name:JEFFERY
Middle Name:SCOTT
Last Name:DOWNS
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 1:2308 HIGHWAY 36 S
Mailing Address - Street 2:
Mailing Address - City:SEALY
Mailing Address - State:TX
Mailing Address - Zip Code:77474-4223
Mailing Address - Country:US
Mailing Address - Phone:979-885-7484
Mailing Address - Fax:979-885-7485
Practice Address - Street 1:2308 HIGHWAY 36 S
Practice Address - Street 2:
Practice Address - City:SEALY
Practice Address - State:TX
Practice Address - Zip Code:77474-4223
Practice Address - Country:US
Practice Address - Phone:979-885-7484
Practice Address - Fax:979-885-7485
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6539111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6539OtherSTATE LICENSE
TX8AJ918OtherBLUE CROSS BLUE SHIELD
TXP0031502OtherRAILROAD MEDICARE PIN
TXP00477489OtherRAILROAD MEDICARE PIN
TXP00477489OtherRAILROAD MEDICARE PIN
TX6539OtherSTATE LICENSE