Lawrence Elton Caudell Jr., D.C.

Primary specialty

Occupational Health ChiropractorTaxonomy code 111NX0100X

License

9002 Issued in TX

Practice address

3074 College Park Dr
Conroe, TX 77384-8002

Phone

(936) 321-5600

Fax

(936) 271-5665

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• NBC Healthcare Center Inc

  • Multi-Specialty Clinic/Center
  • Nassau Bay, TX
  • NPI 1699817528
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1265457758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 W 19TH ST",
            "address_2": "SUITE 239",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770083914",
            "telephone_number": "832-788-8739",
            "fax_number": "713-861-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3074 COLLEGE PARK DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773848002",
            "telephone_number": "936-321-5600",
            "fax_number": "936-271-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUDELL",
        "first_name": "LAWRENCE",
        "middle_name": "ELTON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "TX",
            "license": "9002",
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "AZ",
            "license": "3772",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Fox Castleschouldt, CRANIAL PROTHESTICS
• Sara Maria Castro-Olivo, PHD
• Brianna Sylvia Castro
• Gizeh Castro
• Kelsey Ann Cates-Sherman
• Jorge Cea, LPC
• Saphire Ceaser
• Center for Minimally Invasive Neurosurgery PLLC
• Center for Pediatric Therapy
• Centerwell Senior Primary Care (TX) PA

• Occupational Health Chiropractor in Conroe, TX
• Providers in Conroe, TX by specialty
• Occupational Health Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.