MEDICARE: CHRISTOPHER J GARRISON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	J4143	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427066117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER J GARRISON M.D.

Provider Business Mailing Address
First Line	:	1400 N IH 35 STE 300
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78701-1926
Country	:	US
Telephone Number	:	512-324-8300
Fax Number	:	512-324-8301

Provider Business Practice Location Address
First Line	:	1400 N IH 35 STE 2.230
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78701-1926
Country	:	US
Telephone Number	:	512-324-8235
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	01/17/2013

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