Provider Demographics
NPI:1346469749
Name:WES STAMPS, DC., PA.
Entity Type:Organization
Organization Name:WES STAMPS, DC., PA.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:WESLEY
Authorized Official - Last Name:STAMPS
Authorized Official - Suffix:
Authorized Official - Credentials:DC, PA
Authorized Official - Phone:830-625-6011
Mailing Address - Street 1:1551 N. WALNUT AVE.
Mailing Address - Street 2:SUITE 40
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-6047
Mailing Address - Country:US
Mailing Address - Phone:830-625-6011
Mailing Address - Fax:830-606-0398
Practice Address - Street 1:1551 N WALNUT AVE
Practice Address - Street 2:SUITE 40
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-6047
Practice Address - Country:US
Practice Address - Phone:830-625-6011
Practice Address - Fax:830-606-0398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2008-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6781111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00375RMedicare PIN