Provider Demographics
NPI:1417109323
Name:WEBB, JAMES JARRETT (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:JARRETT
Last Name:WEBB
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 1:1114 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
Is Sole Proprietor?:No
Enumeration Date:2008-10-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9849111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor