Provider Demographics
NPI:1467145052
Name:HUBER, LANDON SCOTT (DC)
Entity Type:Individual
Prefix:DR
First Name:LANDON
Middle Name:SCOTT
Last Name:HUBER
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 1:122 MILL XING E
Mailing Address - Street 2:
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-3662
Mailing Address - Country:US
Mailing Address - Phone:817-505-8188
Mailing Address - Fax:
Practice Address - Street 1:122 MILL XING E
Practice Address - Street 2:
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-3662
Practice Address - Country:US
Practice Address - Phone:817-505-8188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-30
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15601111NP0017X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor