Provider Demographics
NPI:1376692525
Name:CLAWSON, CHAD ALAN (DC)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:ALAN
Last Name:CLAWSON
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 1:1912 CENTRAL DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-5894
Mailing Address - Country:US
Mailing Address - Phone:817-355-5200
Mailing Address - Fax:817-545-4070
Practice Address - Street 1:1912 CENTRAL DR
Practice Address - Street 2:SUITE A
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-5894
Practice Address - Country:US
Practice Address - Phone:817-355-5200
Practice Address - Fax:817-545-4070
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6845111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor