Provider Demographics
NPI:1699871236
Name:PARIS, CHARLOTTE A (DC)
Entity type:Individual
Prefix:DR
First Name:CHARLOTTE
Middle Name:A
Last Name:PARIS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:CHARLOTTE
Other - Middle Name:A
Other - Last Name:ROMAY-PARIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:711 SANTA ISABEL BLVD
Mailing Address - Street 2:
Mailing Address - City:LAGUNA VISTA
Mailing Address - State:TX
Mailing Address - Zip Code:78578-2647
Mailing Address - Country:US
Mailing Address - Phone:956-943-7002
Mailing Address - Fax:956-943-7004
Practice Address - Street 1:711 SANTA ISABEL BLVD
Practice Address - Street 2:
Practice Address - City:LAGUNA VISTA
Practice Address - State:TX
Practice Address - Zip Code:78578-2647
Practice Address - Country:US
Practice Address - Phone:956-943-7002
Practice Address - Fax:956-943-7004
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2015-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4818111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX83140GOtherBC/BS
612946Medicare PIN
TXU06302Medicare UPIN