Healthcare Provider Details

I. General information

NPI: 1679893754
Provider Name (Legal Business Name): CHRISTINA TJOK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2010
Last Update Date: 06/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 NORFOLK ST STE 628
HOUSTON TX
77098-4056
US

IV. Provider business mailing address

2628 SUNSET BLVD
HOUSTON TX
77005-2440
US

V. Phone/Fax

Practice location:
  • Phone: 281-789-8931
  • Fax:
Mailing address:
  • Phone: 832-605-8197
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberBP10036937
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: