Provider Demographics
NPI:1558369496
Name:TOUZE, XAVIER M (DC)
Entity Type:Individual
Prefix:DR
First Name:XAVIER
Middle Name:M
Last Name:TOUZE
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 1:7389 BALTIMORE ANNAPOLIS BLVD
Mailing Address - Street 2:SUITE L
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-3270
Mailing Address - Country:US
Mailing Address - Phone:410-766-1144
Mailing Address - Fax:410-766-1330
Practice Address - Street 1:7389 BALTIMORE ANNAPOLIS BLVD
Practice Address - Street 2:SUITE L
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-3270
Practice Address - Country:US
Practice Address - Phone:410-766-1144
Practice Address - Fax:410-766-1330
Is Sole Proprietor?:No
Enumeration Date:2005-07-13
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS1913111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDS633 769035OtherCAREFIRST
MD10436545OtherCAQH
MD188YMedicare ID - Type Unspecified
MDU70897Medicare UPIN