Provider Demographics
NPI:1871949958
Name:HOBBS, PHILLIP
Entity type:Individual
Prefix:
First Name:PHILLIP
Middle Name:
Last Name:HOBBS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 CHEEK SPARGER RD
Mailing Address - Street 2:STE 100
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-2975
Mailing Address - Country:US
Mailing Address - Phone:817-267-0102
Mailing Address - Fax:
Practice Address - Street 1:3700 CHEEK SPARGER RD
Practice Address - Street 2:STE 100
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-2975
Practice Address - Country:US
Practice Address - Phone:817-267-0102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-09
Last Update Date:2018-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13205111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor