Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | BP10010060865 | TX |
N | 111NI0900X | Internist | BP10010060865 | TX |
Y | 207RA0201X | Internist - Allergy & Immunology | BP10010060865 | TX |
NPI | 1528594397 |
---|---|
Provider Name | Nicole Christians |
First Address | Galveston, TX 77555-0550 |
Second Address | Galveston, TX 77555-1167 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2017 |
Last Update Date | 03/06/2020 |