Healthcare Provider Details

I. General information

NPI: 1598926669
Provider Name (Legal Business Name): CHRISTOPHER JAMES BIRKHOLZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2008
Last Update Date: 12/06/2021
Certification Date: 12/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1713 SW H K DODGEN LOOP STE 100
TEMPLE TX
76502-1836
US

IV. Provider business mailing address

PO BOX 844658
DALLAS TX
75284-4658
US

V. Phone/Fax

Practice location:
  • Phone: 254-771-8100
  • Fax: 254-771-8101
Mailing address:
  • Phone: 800-994-0371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberBP10031388
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberP1728
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: