CHRISTOPHER D LAVALLEY


Address: 824 Anson, Kingsland, TX 78639-4234
Phone: 3253885665

CHRISTOPHER D LAVALLEY (NPI# 1730786302) 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) 1730786302
Entity Type Individual
Full Name CHRISTOPHER D LAVALLEY
Practice Address 824 Anson
Kingsland
TX 78639-4234
Practice Telephone 3253885665
Practice Fax Number 3253880225
Mailing Telephone 3253885665
Mailing Fax Number 3253880225
Enumeration Date 2020-10-06
Last Update Date 2020-10-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171WH0202X Contractor
Specialization: Home Modifications
TACLA00066994E TX Other Service Providers

Office Location

Street Address 824 ANSON
City KINGSLAND
State TX
Zip Code 78639-4234

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1649322819 Jan Alice Morris Dentist 4012 W Ranch Road 1431, Kingsland, TX 78639-3253 2007-01-17
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Taxonomy Information

Taxonomy Code 171WH0202X
Grouping Other Service Providers
Classification Contractor
Specialization Home Modifications

Taxonomy Definition

Definition to come...

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1851930911 Cardinal Remodeling, LLC Contractor 395 N 10th St, Beaumont, TX 77702-1901 2020-01-06
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Competitor

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City KINGSLAND
Zip Code 78639

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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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