MEDICARE: DR. KHRISTOPHER J RAEF 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	12310	TX

General Provider Information

NPI Number	:	1932522455
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KHRISTOPHER J RAEF DC

Provider Business Mailing Address
First Line	:	3132 MATLOCK RD STE 305
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76015-2922
Country	:	US
Telephone Number	:	817-277-8811
Fax Number	:	972-291-5976

Provider Business Practice Location Address
First Line	:	3132 MATLOCK RD STE 305
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76015-2922
Country	:	US
Telephone Number	:	817-277-8811
Fax Number	:	972-291-5976

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

Provider Enumeration Date	:	02/04/2014
Last Update Date	:	03/29/2021

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