Provider Demographics
NPI:1548391451
Name:HAMBLIN, JANICE SUE (DC)
Entity Type:Individual
Prefix:DR
First Name:JANICE
Middle Name:SUE
Last Name:HAMBLIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2626 NORTH BLVD
Mailing Address - Street 2:SUITE 11
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-5025
Mailing Address - Country:US
Mailing Address - Phone:713-526-1987
Mailing Address - Fax:
Practice Address - Street 1:2626 NORTH BLVD
Practice Address - Street 2:SUITE 11
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-5025
Practice Address - Country:US
Practice Address - Phone:713-526-1987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5556111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX603410Medicare UPIN