Provider Demographics
NPI:1952525198
Name:STAMPS, JOHN WESLEY (DC,PA)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:WESLEY
Last Name:STAMPS
Suffix:
Gender:M
Credentials:DC,PA
Other - Prefix:DR
Other - First Name:WES
Other - Middle Name:
Other - Last Name:STAMPS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC,PA
Mailing Address - Street 1:2810 OAK RUN PARKWAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-4755
Mailing Address - Country:US
Mailing Address - Phone:830-625-6011
Mailing Address - Fax:866-362-7075
Practice Address - Street 1:2810 OAK RUN PARKWAY
Practice Address - Street 2:SUITE 100
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78132-4755
Practice Address - Country:US
Practice Address - Phone:830-625-6011
Practice Address - Fax:866-362-7075
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6781111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8841MIMedicare PIN