Provider Demographics
NPI:1366593816
Name:WINDSOR, CHARLES DAVID (DC)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:DAVID
Last Name:WINDSOR
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:2147 NECTAR DR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-8657
Mailing Address - Country:US
Mailing Address - Phone:972-991-9950
Mailing Address - Fax:972-991-9548
Practice Address - Street 1:219 S CEDAR RIDGE DR
Practice Address - Street 2:
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75116-4528
Practice Address - Country:US
Practice Address - Phone:972-283-0255
Practice Address - Fax:972-283-1585
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2009-10-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXDC6507111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX605655Medicare PIN