Provider Demographics
NPI:1205911252
Name:TRIMBLE, JAMES (DC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:TRIMBLE
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 1:7644 BELLFORT ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77061-1704
Mailing Address - Country:US
Mailing Address - Phone:713-643-5454
Mailing Address - Fax:713-643-5456
Practice Address - Street 1:7644 BELLFORT ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77061-1704
Practice Address - Country:US
Practice Address - Phone:713-643-5454
Practice Address - Fax:713-643-5456
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5304111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX603126Medicare ID - Type Unspecified
T90184Medicare UPIN