Provider Demographics
NPI:1386800373
Name:COCKERELL, JEFFRY DOBBS (DC)
Entity type:Individual
Prefix:DR
First Name:JEFFRY
Middle Name:DOBBS
Last Name:COCKERELL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2319 OAK LINKS AVE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77059-4402
Mailing Address - Country:US
Mailing Address - Phone:713-876-3030
Mailing Address - Fax:281-286-4744
Practice Address - Street 1:3115 COLLEGE PARK DR
Practice Address - Street 2:SUITE 101
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77384-4000
Practice Address - Country:US
Practice Address - Phone:936-321-4345
Practice Address - Fax:936-321-4353
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-30
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4327111N00000X, 111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
No111N00000XChiropractic ProvidersChiropractor