Provider Demographics
NPI:1417237959
Name:CAREY, CYNTHIA TRUESDELL (DC)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:TRUESDELL
Last Name:CAREY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:CYNTHIA
Other - Middle Name:TRUESDELL
Other - Last Name:CAREY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:7420 REMCON CIR
Mailing Address - Street 2:C-3
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-3529
Mailing Address - Country:US
Mailing Address - Phone:915-587-4600
Mailing Address - Fax:915-581-6324
Practice Address - Street 1:7420 REMCON CIR
Practice Address - Street 2:C-3
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-3529
Practice Address - Country:US
Practice Address - Phone:915-587-4600
Practice Address - Fax:915-581-6324
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-27
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11838111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor