Provider Demographics
NPI:1649423203
Name:RABER, KEITH ALLEN (DC)
Entity Type:Individual
Prefix:DR
First Name:KEITH
Middle Name:ALLEN
Last Name:RABER
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 1:501 SW WILSHIRE BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-5334
Mailing Address - Country:US
Mailing Address - Phone:817-295-7444
Mailing Address - Fax:682-841-1443
Practice Address - Street 1:501 SW WILSHIRE BLVD STE B
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-5334
Practice Address - Country:US
Practice Address - Phone:817-295-7444
Practice Address - Fax:682-841-1443
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2018-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11247111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor