Provider Demographics
NPI:1093758088
Name:RIEFER, DONALD F (DC)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:F
Last Name:RIEFER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2853 DULLES AVE
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-2950
Mailing Address - Country:US
Mailing Address - Phone:281-499-4810
Mailing Address - Fax:281-499-3005
Practice Address - Street 1:2853 DULLES AVE
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-2950
Practice Address - Country:US
Practice Address - Phone:281-499-4810
Practice Address - Fax:281-499-3005
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9713111N00000X
GA6056111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
35ZCGCRMedicare UPIN