MEDICARE: CHRISTOPHER L ELDER MD

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	173000000X	Legal Medicine	L6872	TX

General Provider Information

NPI Number	:	1295781581
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER L ELDER MD

Provider Business Mailing Address
First Line	:	8450 CAMBRIDGE STREET
Second Line	:	APT 3164
City	:	HOUSTON
State	:	TX
Zip	:	77054
Country	:	US
Telephone Number	:	713-791-9755
Fax Number	:	713-696-9998

Provider Business Practice Location Address
First Line	:	3010 LITTLE YORK ROAD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77093
Country	:	US
Telephone Number	:	713-696-9997
Fax Number	:	713-696-9998

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

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	07/08/2007

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