Provider Demographics
NPI:1437134228
Name:DEAN, J COY III (DC)
Entity Type:Individual
Prefix:DR
First Name:J
Middle Name:COY
Last Name:DEAN
Suffix:III
Gender:M
Credentials:DC
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Mailing Address - Street 1:699 S FRIENDSWOOD DR
Mailing Address - Street 2:STE 105
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-4580
Mailing Address - Country:US
Mailing Address - Phone:281-648-0001
Mailing Address - Fax:281-648-0146
Practice Address - Street 1:699 S FRIENDSWOOD DR
Practice Address - Street 2:STE 105
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-4580
Practice Address - Country:US
Practice Address - Phone:281-648-0001
Practice Address - Fax:281-648-0146
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-14
Last Update Date:2009-08-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX4427111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor