Provider Demographics
NPI:1497817456
Name:TSCHAUNER, CHRISTIAN LEE (D C)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:LEE
Last Name:TSCHAUNER
Suffix:
Gender:M
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2458 E 11TH ST
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79761-4236
Mailing Address - Country:US
Mailing Address - Phone:432-337-5553
Mailing Address - Fax:432-337-6183
Practice Address - Street 1:2458 E 11TH ST
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79761-4236
Practice Address - Country:US
Practice Address - Phone:432-337-5553
Practice Address - Fax:432-337-6183
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7347111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX605746Medicare ID - Type UnspecifiedMEDICARE NUMBER
TXU67599Medicare UPIN