Provider Demographics
NPI:1598717522
Name:RYLEE, CHRISTOPHER W (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:W
Last Name:RYLEE
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 1:8821 DAVIS BLVD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-0308
Mailing Address - Country:US
Mailing Address - Phone:682-593-0500
Mailing Address - Fax:682-593-0168
Practice Address - Street 1:8821 DAVIS BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-0308
Practice Address - Country:US
Practice Address - Phone:682-593-0500
Practice Address - Fax:682-593-0168
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10485111NR0400X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4H706CQ65Medicare ID - Type UnspecifiedIND #LINKED TO CLINIC