Provider Demographics
NPI:1023237617
Name:CYNTHIA SCHADE, DC, PC
Entity type:Organization
Organization Name:CYNTHIA SCHADE, DC, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:JEWELL
Authorized Official - Last Name:SCHADE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-474-5433
Mailing Address - Street 1:4006 S LAMAR BLVD
Mailing Address - Street 2:SUITE 650
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-8802
Mailing Address - Country:US
Mailing Address - Phone:512-474-5433
Mailing Address - Fax:512-469-0717
Practice Address - Street 1:4006 S LAMAR BLVD
Practice Address - Street 2:SUITE 650
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-8802
Practice Address - Country:US
Practice Address - Phone:512-474-5433
Practice Address - Fax:512-469-0717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5191111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0A4609Medicare PIN
TXT85503Medicare UPIN