Provider Demographics
NPI:1659489870
Name:NAEHRITZ, CARL III (DC)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:
Last Name:NAEHRITZ
Suffix:III
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 1:2900 HIGHWAY 121
Mailing Address - Street 2:SUITE 120
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-4033
Mailing Address - Country:US
Mailing Address - Phone:817-545-1100
Mailing Address - Fax:817-545-1101
Practice Address - Street 1:2900 HIGHWAY 121
Practice Address - Street 2:SUITE 120
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-4001
Practice Address - Country:US
Practice Address - Phone:817-545-1100
Practice Address - Fax:817-545-1101
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC5017111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00192633OtherMEDICARE RAILROAD
TX606312OtherBCRS
603071Medicare ID - Type Unspecified
TX606312OtherBCRS