Provider Demographics
NPI:1629120118
Name:MATHEWS, RAYMOND F (DC)
Entity Type:Individual
Prefix:
First Name:RAYMOND
Middle Name:F
Last Name:MATHEWS
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 1:5421 MATLOCK RD
Mailing Address - Street 2:SUITE 125
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76018-1532
Mailing Address - Country:US
Mailing Address - Phone:817-466-9400
Mailing Address - Fax:817-466-9487
Practice Address - Street 1:5421 MATLOCK RD
Practice Address - Street 2:SUITE 125
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76018-1532
Practice Address - Country:US
Practice Address - Phone:817-466-9400
Practice Address - Fax:817-466-9487
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10395111N00000X, 111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN1001XChiropractic ProvidersChiropractorNutrition