Provider Demographics
NPI:1508974007
Name:STREFF, CHRISTOPHER KIPP (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:KIPP
Last Name:STREFF
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 1:6001 WINDHAVEN PKWY.
Mailing Address - Street 2:#210
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093
Mailing Address - Country:US
Mailing Address - Phone:972-473-8980
Mailing Address - Fax:972-212-6851
Practice Address - Street 1:6001 WINDHAVEN PKWY.
Practice Address - Street 2:#210
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093
Practice Address - Country:US
Practice Address - Phone:972-473-8980
Practice Address - Fax:972-212-6851
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-26
Last Update Date:2013-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9657DC111N00000X
TX9657111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
607185OtherBLUE CROSS BLUE SHIELD
9657DCOtherLICENSE