Provider Demographics
NPI:1336650175
Name:SULPHUR SPRINGS CHIROPRACTIC ASSOCIATES INC
Entity Type:Organization
Organization Name:SULPHUR SPRINGS CHIROPRACTIC ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:WELBORN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:903-785-5551
Mailing Address - Street 1:207 JEFFERSON ST E
Mailing Address - Street 2:
Mailing Address - City:SULPHUR SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:75482-2643
Mailing Address - Country:US
Mailing Address - Phone:903-919-5020
Mailing Address - Fax:903-784-4188
Practice Address - Street 1:207 JEFFERSON ST E
Practice Address - Street 2:
Practice Address - City:SULPHUR SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:75482
Practice Address - Country:US
Practice Address - Phone:903-919-5020
Practice Address - Fax:903-784-4188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-19
Last Update Date:2018-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11255111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty