Healthcare Provider Details
I. General information
NPI: 1356631162
Provider Name (Legal Business Name): CHRISTOPHER AARON HESS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/13/2011
Last Update Date: 07/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1202 MEDICAL CENTER DR
WILMINGTON NC
28401-7307
US
IV. Provider business mailing address
16633 DALLAS PKWY #150
ADDISON TX
75001
US
V. Phone/Fax
- Phone: 910-341-3300
- Fax: 910-251-2067
- Phone: 972-380-0000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | 2019-00430 |
| License Number State | NC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207LP2900X |
| Taxonomy | Pain Medicine (Anesthesiology) Physician |
| License Number | R1544 |
| License Number State | TX |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207LP2900X |
| Taxonomy | Pain Medicine (Anesthesiology) Physician |
| License Number | 2019-00430 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: