Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 603484 | TX |
NPI | 1073782546 |
---|---|
Provider Name | Theresa E Christ |
First Address | Corpus Christi, TX 78412-4938 |
Second Address | Corpus Christi, TX 78412-4938 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2008 |
Last Update Date | 28/02/2008 |