Doctor Name: | STACY L EBERT |
NPI Number: | 1609839059 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | 8035 |
Business Practice Address: | 699 S Friendswood Dr Ste 105 Friendswood, TX - 775464580 |
Business Phone Number: | 2816480001 |
Business Fax Number: | 2816480146 |
Mailing Address: | 6511 Stewart Rd, Ste 7 GALVESTON |
State: | TX |
Postal Code: | 775511896 |
Phone Number: | 4097442225 |
Fax Number: | 4097442253 |
NPI Enumeration Date: | 04/07/2006 |
NPI Last Update Date: | 01/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 8035 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |