Healthcare Provider Details

I. General information

NPI: 1962413971
Provider Name (Legal Business Name): CHRISTIAN M FREEMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 04/21/2023
Certification Date: 04/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

534 N LHS DR
LUMBERTON TX
77657-8623
US

IV. Provider business mailing address

534 N LHS DR
LUMBERTON TX
77657-8623
US

V. Phone/Fax

Practice location:
  • Phone: 409-299-8889
  • Fax: 866-371-6213
Mailing address:
  • Phone: 409-299-8889
  • Fax: 866-371-6213

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberM1683
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: