Provider Demographics
NPI:1477581007
Name:FIELDEN, RONALD DUANE II (DC)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:DUANE
Last Name:FIELDEN
Suffix:II
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 1:10400 FM 306
Mailing Address - Street 2:
Mailing Address - City:CANYON LAKE
Mailing Address - State:TX
Mailing Address - Zip Code:78132-2280
Mailing Address - Country:US
Mailing Address - Phone:830-226-5456
Mailing Address - Fax:
Practice Address - Street 1:1205 N LOOP 1604 W
Practice Address - Street 2:STE. 211
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4624
Practice Address - Country:US
Practice Address - Phone:210-764-8888
Practice Address - Fax:210-764-2601
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7212111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU64935Medicare UPIN