Christopher Alan Penton
Family Doctor - Sports Medicine
3500 Gaston Ave
Dallas
, Texas 75246-2017
Christopher Alan Penton
Family Doctor - Sports Medicine
3500 Gaston Ave
Dallas
, Texas 75246-2017
(601) 554-7499
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Christopher Alan Penton
- 3688 Veterans Memorial Dr Ste 200
- Hattiesburg, MS
- Zip : 39401-8246
- Fax : (601) 554-7499
- Phone : (601) 554-7400
Second Address
- Christopher Alan Penton
- 3500 Gaston Ave
- Dallas, TX
- Zip : 75246-2017
- Phone : (214) 820-2361
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | 28825 | MS |
National Provider Identifier
| NPI | 1265851646 |
|---|---|
| Provider Name | Christopher Alan Penton |
| First Address | Hattiesburg, MS 39401-8246 |
| Second Address | Dallas, TX 75246-2017 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/04/2014 |
| Last Update Date | 07/06/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.