Provider Demographics
NPI:1124343322
Name:MULDER, RHEAGAN KHRISHA (DC)
Entity type:Individual
Prefix:DR
First Name:RHEAGAN
Middle Name:KHRISHA
Last Name:MULDER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:RHEAGAN
Other - Middle Name:
Other - Last Name:GASKAMP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:548 EL DORADO BLVD
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-2202
Mailing Address - Country:US
Mailing Address - Phone:281-286-8520
Mailing Address - Fax:281-286-2947
Practice Address - Street 1:1600 SMITH ST STE 4225
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-7348
Practice Address - Country:US
Practice Address - Phone:713-652-9777
Practice Address - Fax:713-651-0584
Is Sole Proprietor?:No
Enumeration Date:2010-03-30
Last Update Date:2019-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11430111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor