Individual
CHRISTOPHER GLENN GANIOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10425 HUFFMEISTER RD STE 320, HOUSTON, TX 77065-3429
(281) 955-2650
(281) 955-5857
Mailing address
11800 FM 1960 RD W, HOUSTON, TX 77065-3840
(281) 955-7577
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
TX
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8150NV
BC/BC PIN
TX
Enumeration date
10/01/2014
Last updated
04/26/2022
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