Provider Demographics
NPI:1497846356
Name:MAYFIELD, ROCHELLE M (DC)
Entity Type:Individual
Prefix:DR
First Name:ROCHELLE
Middle Name:M
Last Name:MAYFIELD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:ROCHELLE
Other - Middle Name:M
Other - Last Name:GRABER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:921 W NEW HOPE DR
Mailing Address - Street 2:#701
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613
Mailing Address - Country:US
Mailing Address - Phone:512-259-7900
Mailing Address - Fax:512-259-7904
Practice Address - Street 1:921 W NEW HOPE DR
Practice Address - Street 2:#701
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613
Practice Address - Country:US
Practice Address - Phone:512-259-7900
Practice Address - Fax:512-259-7904
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10019111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor