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NPI Code Detail

MEDICARE: MAX CHRISTOPHER

MEDICARE:   MAX  CHRISTOPHER
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
1171WH0202XHome Modifications Contractor11945647TX

General Provider Information

NPI Number : 1144788761
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAX CHRISTOPHER
Provider Business Mailing Address
First Line : 7423 LA FLOR LN
Second Line :
City : DALLAS
State : TX
Zip : 75241-6404
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7423 LA FLOR LN
Second Line :
City : DALLAS
State : TX
Zip : 75241-5712
Country : US
Telephone Number : 469-353-4783
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2019
Last Update Date : 03/04/2019

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Directions to “ MAX CHRISTOPHER ” Practice Location

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