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NPI Code Detail

MEDICARE: CHRISTOPHER A TIANGCO AGPCNP-BC

MEDICARE: CHRISTOPHER A TIANGCO AGPCNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerAP136662TX

General Provider Information

NPI Number : 1134611403
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER A TIANGCO AGPCNP-BC
Provider Business Mailing Address
First Line : PO BOX 39077
Second Line :
City : BELFAST
State : ME
Zip : 04915-1232
Country : US
Telephone Number : 346-345-2092
Fax Number : 281-883-4395
Provider Business Practice Location Address
First Line : 2400 AUGUSTA DR STE 369
Second Line :
City : HOUSTON
State : TX
Zip : 77057-4911
Country : US
Telephone Number : 888-880-3451
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2018
Last Update Date : 07/30/2025

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Directions to “ CHRISTOPHER A TIANGCO AGPCNP-BC” Practice Location

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