MEDICARE: DR. CHRIS BRIAN CIANCI D.O.

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	207RI0011X	Interventional Cardiology Physician	P5788	TX

General Provider Information

NPI Number	:	1730496720
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRIS BRIAN CIANCI D.O.

Provider Business Mailing Address
First Line	:	3315 UNICORN LAKE BLVD STE 171
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76210-0127
Country	:	US
Telephone Number	:	940-320-2188
Fax Number	:

Provider Business Practice Location Address
First Line	:	3315 UNICORN LAKE BLVD STE 171
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76210-0127
Country	:	US
Telephone Number	:	940-320-2188
Fax Number	:

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

Provider Enumeration Date	:	09/12/2010
Last Update Date	:	03/30/2022

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