Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | DC6507 | TX |
NPI | 1366593816 |
---|---|
Provider Name | Dr. Charles David Windsor |
First Address | Mesquite, TX 75149-8657 |
Second Address | Duncanville, TX 75116-4528 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2007 |
Last Update Date | 23/10/2009 |