Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 27319 | TX |
Y | 213EG0000X | General Practice | 27319 | TX |
NPI | 1003196916 |
---|---|
Provider Name | Christopher John Kight |
First Address | Port Aransas, TX 78373-4245 |
Second Address | Port Aransas, TX 78373-4245 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2011 |
Last Update Date | 11/01/2013 |