Provider Demographics
NPI:1932522455
Name:RAEF, KHRISTOPHER J (DC)
Entity Type:Individual
Prefix:DR
First Name:KHRISTOPHER
Middle Name:J
Last Name:RAEF
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:KHRIS
Other - Middle Name:
Other - Last Name:RAEF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:3132 MATLOCK RD STE 305
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-2922
Mailing Address - Country:US
Mailing Address - Phone:817-277-8811
Mailing Address - Fax:972-291-5976
Practice Address - Street 1:3132 MATLOCK RD STE 305
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-2922
Practice Address - Country:US
Practice Address - Phone:817-277-8811
Practice Address - Fax:972-291-5976
Is Sole Proprietor?:No
Enumeration Date:2014-02-04
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12310111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor