Provider Demographics
NPI:1346301678
Name:WOLFE, ROBERT WAYNE II (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:WAYNE
Last Name:WOLFE
Suffix:II
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:PO BOX 2287
Mailing Address - Street 2:
Mailing Address - City:ONALASKA
Mailing Address - State:TX
Mailing Address - Zip Code:77360-2287
Mailing Address - Country:US
Mailing Address - Phone:281-592-6757
Mailing Address - Fax:936-585-4138
Practice Address - Street 1:13831 US HWY 190 WEST
Practice Address - Street 2:HAYNES SQUARE
Practice Address - City:ONALASKA
Practice Address - State:TX
Practice Address - Zip Code:77360
Practice Address - Country:US
Practice Address - Phone:281-592-6757
Practice Address - Fax:936-585-4138
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX7362111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX350043010OtherRAILROAD MEDICARE
TX605773OtherBCBS