MEDICARE: CHRISTOPHER WINGATE

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
1	171W00000X	Contractor	25706766	TX

General Provider Information

NPI Number	:	1164896825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER WINGATE

Provider Business Mailing Address
First Line	:	7651 WESTBANK AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77064-8216
Country	:	US
Telephone Number	:	832-504-1135
Fax Number	:

Provider Business Practice Location Address
First Line	:	6401 BINGLE RD STE 122
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77092-1329
Country	:	US
Telephone Number	:	832-504-1135
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2015
Last Update Date	:	11/18/2015

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Directions to “ CHRISTOPHER WINGATE ” Practice Location

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