Provider Demographics
NPI:1699396044
Name:AWARE CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:AWARE CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:DANIELLE
Authorized Official - Last Name:DOERR-NAUTH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:727-204-8471
Mailing Address - Street 1:20927 WESTFIELD TERRACE TRL
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-2166
Mailing Address - Country:US
Mailing Address - Phone:727-204-8471
Mailing Address - Fax:346-388-3263
Practice Address - Street 1:23221 RED RIVER DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-2031
Practice Address - Country:US
Practice Address - Phone:713-487-9755
Practice Address - Fax:346-388-3263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-27
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1497393870OtherNPPES