Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | 8914 | TX |
N | 111NN1001X | Nutrition | 8914 | TX |
N | 111NR0400X | Rehabilitation Chiropractor | 8914 | TX |
N | 111NX0800X | Chiropractor Orthopedic Specialist | 8914 | TX |
NPI | 1831313485 |
---|---|
Provider Name | Dr. Jeffrey R. Price |
First Address | Hemphill, TX 75948-1000 |
Second Address | Hemphill, TX 75948 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2007 |
Last Update Date | 26/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
606677 | BCBS OF TEXAS (01) | TX |