Provider Demographics
NPI:1649294885
Name:SCHWAB, C. DAWN (DC)
Entity type:Individual
Prefix:
First Name:C. DAWN
Middle Name:
Last Name:SCHWAB
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9303 PINECROFT DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2245
Mailing Address - Country:US
Mailing Address - Phone:281-292-6644
Mailing Address - Fax:281-298-1132
Practice Address - Street 1:9303 PINECROFT DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-2245
Practice Address - Country:US
Practice Address - Phone:281-292-6644
Practice Address - Fax:281-298-1132
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6332111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8395MOMedicare PIN
TXU-48293Medicare UPIN
TX86480YMedicare ID - Type Unspecified