M. BRUCE CHRISTOPHERSON,MD,PA


Address: 1140 Business Center Dr Ste 390, Houston, TX 77043-2737
Phone: 7134674883

M. BRUCE CHRISTOPHERSON,MD,PA (NPI# 1477693786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477693786
Entity Type Organization
Organization Name M. BRUCE CHRISTOPHERSON,MD,PA
Practice Address 1140 Business Center Dr Ste 390
Houston
TX 77043-2737
Practice Telephone 7134674883
Practice Fax Number 7134674970
Mailing Telephone 7134674883
Mailing Fax Number 7134674970
Enumeration Date 2007-02-07
Last Update Date 2011-01-26
Authorized Official Name MURDOTH BRUCE CHRISTOPHERSON (OWNER)
Authorized Official Telephone 7134674883
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
D8175 TX Ambulatory Health Care Facilities

Office Location

Street Address 1140 BUSINESS CENTER DR STE 390
City HOUSTON
State TX
Zip Code 77043-2737

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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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Competitor

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City HOUSTON
Zip Code 77043

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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