Provider Demographics
NPI:1497393870
Name:DOERR-NAUTH, CARMEN DANIELLE (DC)
Entity Type:Individual
Prefix:DR
First Name:CARMEN
Middle Name:DANIELLE
Last Name:DOERR-NAUTH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:20927 WESTFIELD TERRACE TRL
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-2166
Mailing Address - Country:US
Mailing Address - Phone:727-204-8471
Mailing Address - Fax:
Practice Address - Street 1:23221 RED RIVER DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-2031
Practice Address - Country:US
Practice Address - Phone:713-487-9755
Practice Address - Fax:346-388-3263
Is Sole Proprietor?:No
Enumeration Date:2019-12-16
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH13011111N00000X
TX14186111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor