Provider Demographics
NPI:1790788263
Name:MORING-REUTER, CAROLE ANNE (DC)
Entity Type:Individual
Prefix:DR
First Name:CAROLE
Middle Name:ANNE
Last Name:MORING-REUTER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 N KING ST
Mailing Address - Street 2:SUITE #2
Mailing Address - City:SEGUIN
Mailing Address - State:TX
Mailing Address - Zip Code:78155-5008
Mailing Address - Country:US
Mailing Address - Phone:830-379-8500
Mailing Address - Fax:830-379-6165
Practice Address - Street 1:419 N KING ST
Practice Address - Street 2:SUITE #2
Practice Address - City:SEGUIN
Practice Address - State:TX
Practice Address - Zip Code:78155-5008
Practice Address - Country:US
Practice Address - Phone:830-379-8500
Practice Address - Fax:830-379-6165
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-27
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4026111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX601409OtherBLUE CROSS BLUE SHIELD
TX0012304-01Medicaid
TX601409OtherBLUE CROSS BLUE SHIELD
TX601409Medicare PIN