Provider Demographics
NPI:1932197068
Name:SYKES, BILL RALPH JR (DC)
Entity Type:Individual
Prefix:
First Name:BILL
Middle Name:RALPH
Last Name:SYKES
Suffix:JR
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 1007
Mailing Address - Street 2:
Mailing Address - City:COLDSPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77331-1007
Mailing Address - Country:US
Mailing Address - Phone:936-653-2958
Mailing Address - Fax:936-653-2959
Practice Address - Street 1:15140 HWY 150 WE
Practice Address - Street 2:
Practice Address - City:COLDSPRINGS
Practice Address - State:TX
Practice Address - Zip Code:77331
Practice Address - Country:US
Practice Address - Phone:936-653-2958
Practice Address - Fax:936-653-2959
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9825111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7749658OtherAETNA
TX1713786Medicaid
TX608036OtherBLUE CROSS BLUE SHIELD
TX1713786Medicaid
TX608036OtherBLUE CROSS BLUE SHIELD