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NPI Code Detail

MEDICARE: CHRISTY LYNNE ERNULL PA-C

MEDICARE: CHRISTY LYNNE ERNULL PA-C
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
1363A00000XPhysician AssistantPA00522TX

General Provider Information

NPI Number : 1316082647
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTY LYNNE ERNULL PA-C
Provider Business Mailing Address
First Line : 11511 SHADOW CREEK PKWY
Second Line :
City : PEARLAND
State : TX
Zip : 77584-7298
Country : US
Telephone Number : 713-442-4997
Fax Number :
Provider Business Practice Location Address
First Line : 2909 N I H 35
Second Line :
City : AUSTIN
State : TX
Zip : 78722-2304
Country : US
Telephone Number : 512-478-4939
Fax Number : 512-320-0702
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2007
Last Update Date : 02/02/2023

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Directions to “ CHRISTY LYNNE ERNULL PA-C” Practice Location

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