Provider Demographics
NPI:1639212343
Name:GAFKEN, JAMES ALAN (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ALAN
Last Name:GAFKEN
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 2237
Mailing Address - Street 2:3002 HIGHWAY 377 SOUTH
Mailing Address - City:BROWNWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76804-2237
Mailing Address - Country:US
Mailing Address - Phone:325-646-4664
Mailing Address - Fax:325-643-5861
Practice Address - Street 1:3002 HWY 377 SOUTH
Practice Address - Street 2:
Practice Address - City:BROWNWOOD
Practice Address - State:TX
Practice Address - Zip Code:78804-5122
Practice Address - Country:US
Practice Address - Phone:325-646-4664
Practice Address - Fax:325-643-5861
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4229111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001316101Medicaid
TX001316101Medicaid