Provider Demographics
NPI:1518207208
Name:SCHOESSOW, TREVOR BLAKE (DC)
Entity Type:Individual
Prefix:DR
First Name:TREVOR
Middle Name:BLAKE
Last Name:SCHOESSOW
Suffix:
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 1:9798 BELLAIRE BLVD
Mailing Address - Street 2:SUITE K
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-3427
Mailing Address - Country:US
Mailing Address - Phone:713-777-7888
Mailing Address - Fax:713-777-7855
Practice Address - Street 1:9798 BELLAIRE BLVD
Practice Address - Street 2:SUITE K
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3427
Practice Address - Country:US
Practice Address - Phone:713-777-7888
Practice Address - Fax:713-777-7855
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-18
Last Update Date:2013-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12136111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor