Provider Demographics
NPI:1013984400
Name:SCHUM, DAVID KENT (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:KENT
Last Name:SCHUM
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 1:801 EARLY BLVD.
Mailing Address - Street 2:SUITE 100
Mailing Address - City:EARLY
Mailing Address - State:TX
Mailing Address - Zip Code:76802-2130
Mailing Address - Country:US
Mailing Address - Phone:325-646-8237
Mailing Address - Fax:325-643-9856
Practice Address - Street 1:801 EARLY BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:EARLY
Practice Address - State:TX
Practice Address - Zip Code:76802-2173
Practice Address - Country:US
Practice Address - Phone:325-646-8237
Practice Address - Fax:325-643-9856
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-03
Last Update Date:2007-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5772111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX609071Medicare PIN
TXU71474Medicare UPIN