Provider Demographics
NPI:1285850040
Name:WELLINGTON, JAMES GILBERT (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:GILBERT
Last Name:WELLINGTON
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 1:2130 OAK SHORES DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-1726
Mailing Address - Country:US
Mailing Address - Phone:281-358-0529
Mailing Address - Fax:281-358-6004
Practice Address - Street 1:1140 WESTMONT DR STE 530
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-4365
Practice Address - Country:US
Practice Address - Phone:713-674-2545
Practice Address - Fax:713-674-5706
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC2949111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0100XChiropractic ProvidersChiropractorOccupational Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX603961OtherBCBS ID NUMBER