Provider Demographics
NPI:1174063549
Name:RUMBUC, STEVEN J (DC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:J
Last Name:RUMBUC
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1808 KANGAROO AVE
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76543-3391
Mailing Address - Country:US
Mailing Address - Phone:940-337-9413
Mailing Address - Fax:
Practice Address - Street 1:1808 KANGAROO AVE
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76543-3391
Practice Address - Country:US
Practice Address - Phone:940-337-9413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-03
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15310111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX15310OtherCHIROPRACTIC LICENSE