Provider Demographics
NPI:1316183494
Name:WEBB CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:WEBB CHIROPRACTIC PLLC
Other - Org Name:TRINITY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:JARRETT
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:940-683-2255
Mailing Address - Street 1:1114 HALSELL ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:TX
Mailing Address - Zip Code:76426-3032
Mailing Address - Country:US
Mailing Address - Phone:940-683-2255
Mailing Address - Fax:940-683-2274
Practice Address - Street 1:1114 HALSELL ST
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:TX
Practice Address - Zip Code:76426-3032
Practice Address - Country:US
Practice Address - Phone:940-683-2255
Practice Address - Fax:940-683-2274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-19
Last Update Date:2008-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9849111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty