Provider Demographics
NPI:1447268040
Name:FREEZE, RICHARD CURTIS III (DC, DACAN, DACNB)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:CURTIS
Last Name:FREEZE
Suffix:III
Gender:M
Credentials:DC, DACAN, DACNB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3010 S GEORGIA ST
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-3439
Mailing Address - Country:US
Mailing Address - Phone:806-354-8320
Mailing Address - Fax:806-353-8283
Practice Address - Street 1:3010 S GEORGIA ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-3439
Practice Address - Country:US
Practice Address - Phone:806-354-8320
Practice Address - Fax:806-353-8283
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2010-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5254111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX603184OtherBCBS
TX603184Medicare PIN