Provider Demographics
NPI:1700887965
Name:BARBER, CHAD LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:LEE
Last Name:BARBER
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 1:1206 11TH ST
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:TX
Mailing Address - Zip Code:77445-5260
Mailing Address - Country:US
Mailing Address - Phone:979-921-0700
Mailing Address - Fax:979-921-0455
Practice Address - Street 1:1206 11TH ST
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:TX
Practice Address - Zip Code:77445-5260
Practice Address - Country:US
Practice Address - Phone:979-921-0700
Practice Address - Fax:979-921-0455
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-09
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8789111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor