Provider Demographics
NPI:1609940436
Name:ENGLISH, BOBBY ROYCE (DC)
Entity Type:Individual
Prefix:MR
First Name:BOBBY
Middle Name:ROYCE
Last Name:ENGLISH
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:PO BOX 507 NEW BOSTON CHIROPRACTIC CENTER
Mailing Address - Street 2:308 C HWY 82 WEST
Mailing Address - City:NEW BOSTON
Mailing Address - State:TX
Mailing Address - Zip Code:75570
Mailing Address - Country:US
Mailing Address - Phone:903-628-2871
Mailing Address - Fax:903-628-0131
Practice Address - Street 1:308 C HWY 82 WEST NEW BOSTON CHIROPRACTIC CENTER
Practice Address - Street 2:
Practice Address - City:NEW BOSTON
Practice Address - State:TX
Practice Address - Zip Code:75570
Practice Address - Country:US
Practice Address - Phone:903-628-2871
Practice Address - Fax:903-628-0131
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4865111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
97792OtherBC BS AR
T13176Medicare UPIN
601992Medicare ID - Type Unspecified