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NPI Code Detail

MEDICARE: DR. CHRISTOPHER J. PULIDO D.C.

MEDICARE:  DR. CHRISTOPHER J. PULIDO  D.C.
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
1111N00000XChiropractor8474TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10090NAOTHERTXBLUE CROSS / BLUE SHIELD
28S7578OTHERTXBLUE CROSS / BLUE SHIELD

General Provider Information

NPI Number : 1477630770
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER J. PULIDO D.C.
Provider Business Mailing Address
First Line : 3023 MARINA BAY DR
Second Line : SUITE 104
City : LEAGUE CITY
State : TX
Zip : 77573-2882
Country : US
Telephone Number : 281-538-0878
Fax Number : 281-535-3550
Provider Business Practice Location Address
First Line : 3023 MARINA BAY DR
Second Line : SUITE 104
City : LEAGUE CITY
State : TX
Zip : 77573-2882
Country : US
Telephone Number : 281-538-0878
Fax Number : 281-535-3550
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 06/04/2009

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Directions to “ DR. CHRISTOPHER J. PULIDO D.C.” Practice Location

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