Healthcare Provider Details

I. General information

NPI: 1831313485
Provider Name (Legal Business Name): JEFFREY R. PRICE DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 10/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2025 HIGHWAY 83 WEST
HEMPHILL TX
75948
US

IV. Provider business mailing address

PO BOX 1000
HEMPHILL TX
75948-1000
US

V. Phone/Fax

Practice location:
  • Phone: 409-787-2424
  • Fax: 409-787-2748
Mailing address:
  • Phone: 409-787-2424
  • Fax: 409-787-2748

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number8914
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number8914
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number8914
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number8914
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: