MEDICARE: CHRISTOPHER L BOEHME PLLC

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	261QM0850X	Adult Mental Health Clinic/Center	M0666	TX

General Provider Information

NPI Number	:	1427492057
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTOPHER L BOEHME PLLC

Provider Business Mailing Address
First Line	:	1527 W ALABAMA ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-4105
Country	:	US
Telephone Number	:	713-492-0723
Fax Number	:	713-636-2182

Provider Business Practice Location Address
First Line	:	1527 W ALABAMA ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-4105
Country	:	US
Telephone Number	:	713-492-0723
Fax Number	:	713-636-2182

Authorized Official
Title or Position	:	PSYCHIATRIST
Name	:	DR. CHRISTOPHER LEE BOEHME
Credential	:	M.D.
Telephone Number	:	832-242-4362

Provider Enumeration Date	:	04/25/2013
Last Update Date	:	04/25/2013

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