Provider Demographics
NPI:1376691907
Name:STEUERWALD, DONNEL REX (DC)
Entity Type:Individual
Prefix:MR
First Name:DONNEL
Middle Name:REX
Last Name:STEUERWALD
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 1:8500 COLUMBIA FALLS DR
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-3536
Mailing Address - Country:US
Mailing Address - Phone:512-218-9809
Mailing Address - Fax:
Practice Address - Street 1:201 S BELL BLVD
Practice Address - Street 2:#106
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-2943
Practice Address - Country:US
Practice Address - Phone:512-249-1636
Practice Address - Fax:512-249-2554
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC7416111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX605918OtherBLUECROSS BLUE SHIELD