Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 5772 | TX |
NPI | 1013984400 |
---|---|
Provider Name | Dr. David Kent Schum |
First Address | Early, TX 76802-2130 |
Second Address | Early, TX 76802-2173 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2006 |
Last Update Date | 29/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U71474 | (02) | TX |