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NPI Code Detail

MEDICARE: DR. CHRISTOPHER RUSSELL KANNADY

MEDICARE: DR. CHRISTOPHER RUSSELL KANNADY
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
1208800000XUrology PhysicianR9506TX

General Provider Information

NPI Number : 1780001966
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER RUSSELL KANNADY
Provider Business Mailing Address
First Line : PO BOX 58538
Second Line :
City : WEBSTER
State : TX
Zip : 77598-8538
Country : US
Telephone Number : 346-250-5680
Fax Number : 346-610-9690
Provider Business Practice Location Address
First Line : 4615 SOUTHWEST FWY STE 1000
Second Line :
City : HOUSTON
State : TX
Zip : 77027-7108
Country : US
Telephone Number : 346-250-5680
Fax Number : 346-610-9690
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2014
Last Update Date : 01/26/2026

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Directions to “ DR. CHRISTOPHER RUSSELL KANNADY ” Practice Location

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