Provider Demographics
NPI:1306908017
Name:COLWELL, ALFRED BURNS (DC)
Entity type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:BURNS
Last Name:COLWELL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14011 PARK DR
Mailing Address - Street 2:SUIT 100-K
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77377-6292
Mailing Address - Country:US
Mailing Address - Phone:281-351-7343
Mailing Address - Fax:281-351-5060
Practice Address - Street 1:14011 PARK DR
Practice Address - Street 2:SUIT 100-K
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77377-6292
Practice Address - Country:US
Practice Address - Phone:281-351-7343
Practice Address - Fax:281-351-5060
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC-6145111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX603901Medicare ID - Type Unspecified
TXU42338Medicare UPIN