Provider Demographics
NPI:1194538488
Name:KEUCHEL, CRAIG
Entity type:Individual
Prefix:
First Name:CRAIG
Middle Name:
Last Name:KEUCHEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2845 PARKWOOD BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-4576
Mailing Address - Country:US
Mailing Address - Phone:972-781-2800
Mailing Address - Fax:972-608-9680
Practice Address - Street 1:2845 PARKWOOD BLVD STE 200
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-4576
Practice Address - Country:US
Practice Address - Phone:972-781-2800
Practice Address - Fax:972-608-9680
Is Sole Proprietor?:No
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16321111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor