Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Billy Bob Coburn, DC

Individual provider Chiropractor · NPI 1760674956

Dr. Billy Bob Coburn, DC is a Chiropractic in Lake Jackson, Texas. Qualified in 2004, 22 years ago. Accepts Medicare assignment. Licensed in Texas.

Years since qualifying
22
Licensed in
TX
In the registry since
2007
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

512 This Way St
Lake Jackson, TX 77566-5128
Phone: (979) 299-1898
Fax: (979) 299-3282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 9981 (TX)

Record details

NPI number1760674956
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedAugust 13, 2007
Last updated in NPPESAugust 13, 2007
Mailing address512 This Way St, Lake Jackson, TX 77566-5128

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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