Provider Demographics
NPI:1649784653
Name:D'SOUZA, JUDE DANIEL (DC)
Entity type:Individual
Prefix:DR
First Name:JUDE
Middle Name:DANIEL
Last Name:D'SOUZA
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 1:602 RIVER DELTA LN
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77469-5790
Mailing Address - Country:US
Mailing Address - Phone:713-876-5795
Mailing Address - Fax:
Practice Address - Street 1:11811 NORTH FWY STE 610
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-3239
Practice Address - Country:US
Practice Address - Phone:281-999-5252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-29
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11303111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor