Individual
CRISTIN VITEK WAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
505 S MASON RD, KATY, TX 77450-2491
(281) 579-1116
(281) 579-0395
Mailing address
505 S MASON RD, KATY, TX 77450-2491
(281) 579-1116
(281) 579-0395
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11565
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
601426
MEDICARE GROUP PTAN
TX
01
—
TXB114991
MEDICARE INDIVIDUAL PTAN
TX
Enumeration date
09/21/2010
Last updated
09/04/2012
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