MEDICARE: DR. RHEAGAN KHRISHA MULDER DC

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	11430	TX

General Provider Information

NPI Number	:	1124343322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RHEAGAN KHRISHA MULDER DC

Provider Business Mailing Address
First Line	:	548 EL DORADO BLVD
Second Line	:
City	:	WEBSTER
State	:	TX
Zip	:	77598-2202
Country	:	US
Telephone Number	:	281-286-8520
Fax Number	:	281-286-2947

Provider Business Practice Location Address
First Line	:	1600 SMITH ST STE 4225
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77002-7348
Country	:	US
Telephone Number	:	713-652-9777
Fax Number	:	713-651-0584

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

Provider Enumeration Date	:	03/30/2010
Last Update Date	:	03/15/2019

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Directions to “ DR. RHEAGAN KHRISHA MULDER DC” Practice Location

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