Provider Demographics
NPI:1679846265
Name:OSWALD, KANON FRANK (DC)
Entity Type:Individual
Prefix:DR
First Name:KANON
Middle Name:FRANK
Last Name:OSWALD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 GESSNER RD.
Mailing Address - Street 2:SUITE 140
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77080-3842
Mailing Address - Country:US
Mailing Address - Phone:713-690-0233
Mailing Address - Fax:713-690-4290
Practice Address - Street 1:2600 GESSNER RD.
Practice Address - Street 2:SUITE 140
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77080-3842
Practice Address - Country:US
Practice Address - Phone:713-690-0233
Practice Address - Fax:713-690-4290
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-14
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11975111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX381064ZK8QMedicare PIN