Provider Demographics
NPI:1316990948
Name:JOBEY D. CLABORN, DO PA
Entity type:Organization
Organization Name:JOBEY D. CLABORN, DO PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOBEY
Authorized Official - Middle Name:D
Authorized Official - Last Name:CLABORN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:806-272-6825
Mailing Address - Street 1:708 S 1ST ST
Mailing Address - Street 2:
Mailing Address - City:MULESHOE
Mailing Address - State:TX
Mailing Address - Zip Code:79347-3627
Mailing Address - Country:US
Mailing Address - Phone:806-272-6825
Mailing Address - Fax:806-272-4113
Practice Address - Street 1:708 S 1ST ST
Practice Address - Street 2:
Practice Address - City:MULESHOE
Practice Address - State:TX
Practice Address - Zip Code:79347-3627
Practice Address - Country:US
Practice Address - Phone:806-272-6825
Practice Address - Fax:806-272-4113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2009-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0057DDOtherBCBS OF TX GROUP #
TXE77532Medicare UPIN
TX0057DDOtherBCBS OF TX GROUP #