Healthcare Provider Details

I. General information

NPI: 1528594397
Provider Name (Legal Business Name): NICOLE A CHRISTIANS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2017
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2660 GULF FWY S
LEAGUE CITY TX
77573-6820
US

IV. Provider business mailing address

301 UNIVERSITY BLVD
GALVESTON TX
77555-5302
US

V. Phone/Fax

Practice location:
  • Phone: 800-917-8906
  • Fax:
Mailing address:
  • Phone: 409-772-1011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License NumberT5286
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: