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NPI Code Detail

MEDICARE: CHRISTOPHER PERKINS DO

MEDICARE: CHRISTOPHER PERKINS DO
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
1207Q00000XFamily Medicine PhysicianK6494TX
22083P0901XPublic Health & General Preventive Medicine PhysicianK6494TX

Other Identifiers

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

General Provider Information

NPI Number : 1831195106
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER PERKINS DO
Provider Business Mailing Address
First Line : 1527 SILVER CREEK DR
Second Line :
City : DESOTO
State : TX
Zip : 75115-3687
Country : US
Telephone Number : 469-478-5763
Fax Number :
Provider Business Practice Location Address
First Line : 428 CENTENNIAL PKWY
Second Line :
City : TYLER
State : TX
Zip : 75703-7166
Country : US
Telephone Number : 903-266-5900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 01/25/2023

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