MEDICARE: CHRISTOPHER KING

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	1744P3200X	Prosthetics Case Management	1487001	TX

General Provider Information

NPI Number	:	1427431931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER KING

Provider Business Mailing Address
First Line	:	2502 WESTERLAND DR APT 513
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-2219
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3880 S GESSNER RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-5134
Country	:	US
Telephone Number	:	281-975-9273
Fax Number	:

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

Provider Enumeration Date	:	07/01/2015
Last Update Date	:	07/01/2015

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Directions to “ CHRISTOPHER KING ” Practice Location

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