Provider Demographics
NPI:1710643150
Name:CARAWAY, DANIEL CREED (DC)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:CREED
Last Name:CARAWAY
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 1:803 CROSSBOW CIRCLE
Mailing Address - Street 2:
Mailing Address - City:WOODWAY
Mailing Address - State:TX
Mailing Address - Zip Code:76712
Mailing Address - Country:US
Mailing Address - Phone:512-554-5394
Mailing Address - Fax:254-778-6491
Practice Address - Street 1:61 N KEGLEY RD
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-4067
Practice Address - Country:US
Practice Address - Phone:254-899-2225
Practice Address - Fax:254-778-6491
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-10
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14906111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor