MEDICARE: CHRISTINE CULP

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	106H00000X	Marriage & Family Therapist	205224	TX

General Provider Information

NPI Number	:	1578310223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE CULP

Provider Business Mailing Address
First Line	:	6218 CREEKHAVEN CT
Second Line	:
City	:	SACHSE
State	:	TX
Zip	:	75048-5659
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	202 INDUSTRIAL CT
Second Line	:
City	:	WYLIE
State	:	TX
Zip	:	75098-3952
Country	:	US
Telephone Number	:	469-238-0339
Fax Number	:

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

Provider Enumeration Date	:	05/01/2024
Last Update Date	:	05/01/2024

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Directions to “ CHRISTINE CULP ” Practice Location

Language	Start Address	Practice Location

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