MEDICARE: DR. CAROLE ANNE MORING-REUTER D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	4026	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	601409	OTHER	TX	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790788263
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROLE ANNE MORING-REUTER D.C.

Provider Business Mailing Address
First Line	:	419 N KING ST
Second Line	:	SUITE #2
City	:	SEGUIN
State	:	TX
Zip	:	78155-5008
Country	:	US
Telephone Number	:	830-379-8500
Fax Number	:	830-379-6165

Provider Business Practice Location Address
First Line	:	419 N KING ST
Second Line	:	SUITE #2
City	:	SEGUIN
State	:	TX
Zip	:	78155-5008
Country	:	US
Telephone Number	:	830-379-8500
Fax Number	:	830-379-6165

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	07/20/2010

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