Provider Demographics
NPI:1891793816
Name:BECHTEL, CARL H (DC)
Entity Type:Individual
Prefix:
First Name:CARL
Middle Name:H
Last Name:BECHTEL
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:PO BOX 721
Mailing Address - Street 2:
Mailing Address - City:KEMAH
Mailing Address - State:TX
Mailing Address - Zip Code:77565-0721
Mailing Address - Country:US
Mailing Address - Phone:281-344-4700
Mailing Address - Fax:281-334-4755
Practice Address - Street 1:2129 FENWOOD ST
Practice Address - Street 2:
Practice Address - City:KEMAH
Practice Address - State:TX
Practice Address - Zip Code:77565-2117
Practice Address - Country:US
Practice Address - Phone:281-344-4700
Practice Address - Fax:281-334-4755
Is Sole Proprietor?:No
Enumeration Date:2005-07-13
Last Update Date:2007-07-08
Deactivation Date:2006-03-17
Deactivation Code:
Reactivation Date:2006-03-31
Provider Licenses
StateLicense IDTaxonomies
TX4198111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor