Provider Demographics
NPI:1396458758
Name:FORBES, SEAN GREGOR (DC)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:GREGOR
Last Name:FORBES
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 1:200 BRITTANY WOOD LOOP
Mailing Address - Street 2:
Mailing Address - City:LIBERTY HILL
Mailing Address - State:TX
Mailing Address - Zip Code:78642-2095
Mailing Address - Country:US
Mailing Address - Phone:512-809-7929
Mailing Address - Fax:
Practice Address - Street 1:8708 S CONGRESS AVE # 570
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-7379
Practice Address - Country:US
Practice Address - Phone:512-768-2030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-02
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15366111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor