Provider Demographics
NPI:1427188135
Name:CARSRUD, N.D. VICTOR (DC, MS, DABCI)
Entity Type:Individual
Prefix:DR
First Name:N.D. VICTOR
Middle Name:
Last Name:CARSRUD
Suffix:
Gender:M
Credentials:DC, MS, DABCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13860 N US HIGHWAY 183
Mailing Address - Street 2:SUITE B
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-1203
Mailing Address - Country:US
Mailing Address - Phone:512-219-8600
Mailing Address - Fax:512-219-6770
Practice Address - Street 1:13860 N US HIGHWAY 183
Practice Address - Street 2:SUITE B
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-1203
Practice Address - Country:US
Practice Address - Phone:512-219-8600
Practice Address - Fax:512-219-6770
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10286111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor