Healthcare Provider Details

I. General information

NPI: 1619367497
Provider Name (Legal Business Name): CHRISTIAN OBANDO NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: AGUSTIN OBANDO FNP

II. Dates (important events)

Enumeration Date: 01/30/2015
Last Update Date: 07/22/2021
Certification Date: 07/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9100 FOREST XING STE A
THE WOODLANDS TX
77381-1194
US

IV. Provider business mailing address

7010 CHAMPIONS PLAZA DR STE 400
HOUSTON TX
77069-2395
US

V. Phone/Fax

Practice location:
  • Phone: 936-755-4412
  • Fax:
Mailing address:
  • Phone: 832-698-5330
  • Fax: 832-698-5321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP127346
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP127346
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: