Dr. Stephen Ray Tietjen, D.C.
Chiropractor, Rehabilitation in North Richland Hills, TX. Individual provider (NPI-1).
NPI number1316201619
StatusActive
Last updated in NPPESJul 2, 2012
Details
- NPI
- 1316201619
- Entity type
- Individual (NPI-1)
- Name
- Dr. Stephen Ray Tietjen
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 2, 2012
- Last updated
- Jul 2, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NR0400X | Chiropractor, Rehabilitation | 12018 | TX | Yes |
| 111N00000X | Chiropractor | 12018 | TX |
Practice location
5636 Havana DrNorth Richland Hills, TX 76180-6558
Phone 817-991-6428
Mailing address
5636 Havana Dr.North Richland Hills, TX 76180
Phone 817-991-6428
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All 8 Rehabilitation Chiropractor providers in North Richland Hills · All 1,173 providers in North Richland Hills
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