Healthcare Provider Details

I. General information

NPI: 1679035638
Provider Name (Legal Business Name): CHRISTIAN GULDE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2019
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2425 HIGHWAY 121
BEDFORD TX
76021-5013
US

IV. Provider business mailing address

2425 HIGHWAY 121
BEDFORD TX
76021-5013
US

V. Phone/Fax

Practice location:
  • Phone: 817-540-4477
  • Fax: 817-540-5633
Mailing address:
  • Phone: 817-540-4477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberT4373
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA184526
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberA184526
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberT4373
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberT4373
License Number StateTX
# 6
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberT4373
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: