Provider Demographics
NPI:1952543829
Name:SCHUBERT, CATHEEN ANN (DC)
Entity type:Individual
Prefix:
First Name:CATHEEN
Middle Name:ANN
Last Name:SCHUBERT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:CATHLEEN
Other - Middle Name:ANN
Other - Last Name:FANELLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14770 MEMORIAL DR
Mailing Address - Street 2:SUITE #220
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-5252
Mailing Address - Country:US
Mailing Address - Phone:281-977-8369
Mailing Address - Fax:281-493-3353
Practice Address - Street 1:6969 GULF FWY
Practice Address - Street 2:SUITE 370
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77087-2554
Practice Address - Country:US
Practice Address - Phone:713-643-0600
Practice Address - Fax:713-641-4229
Is Sole Proprietor?:No
Enumeration Date:2009-03-24
Last Update Date:2016-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11142111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1952543829OtherMEDICARE PIN IN PROCESS