Provider Demographics
NPI:1992836761
Name:SCHUSTER, CAROLYN (DC)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:
Last Name:SCHUSTER
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 1:2920 W. SOUTHLAKE BLVD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092
Mailing Address - Country:US
Mailing Address - Phone:817-741-9355
Mailing Address - Fax:817-741-9358
Practice Address - Street 1:2920 W. SOUTHLAKE BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092
Practice Address - Country:US
Practice Address - Phone:817-741-9355
Practice Address - Fax:817-741-9358
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10099111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor