Provider Demographics
NPI:1831269919
Name:RAUHAUSER, WILLIAM D JR (DC)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:D
Last Name:RAUHAUSER
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:BILL
Other - Middle Name:
Other - Last Name:RAUHAUSER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:2430 JUSTIN RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-3091
Mailing Address - Country:US
Mailing Address - Phone:972-342-4988
Mailing Address - Fax:
Practice Address - Street 1:2430 JUSTIN RD
Practice Address - Street 2:SUITE B
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-3091
Practice Address - Country:US
Practice Address - Phone:972-317-3146
Practice Address - Fax:972-317-4417
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5875111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5875OtherLISCENSE #
TX85100FOtherBLUE CROSS BLUE SHIELD
TX5875OtherLISCENSE #
TX85100FMedicare ID - Type Unspecified