Healthcare Provider Details

I. General information

NPI: 1417997081
Provider Name (Legal Business Name): JAMES ROBERT SNOW D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2508 HIGHWAY 82 E
WHITESBORO TX
76273-3224
US

IV. Provider business mailing address

803 BURROWS CHAPEL RD.
WHITESBORO TX
76273
US

V. Phone/Fax

Practice location:
  • Phone: 903-564-7600
  • Fax: 903-564-7622
Mailing address:
  • Phone: 940-612-1570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5726
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: