Individual
MR. CHRISTOPHER M OPELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 BURNT CHURCH RD, BLUFFTON, SC 29910-6405
(817) 270-0788
(817) 752-2176
Mailing address
601 NORTHWEST PKWY STE C, AZLE, TX 76020-2930
(817) 270-0788
(817) 752-2176
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
K5370
TX
207Q00000X
Family Medicine Physician
Primary
K5370
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009DV
BLUE CROSS BLUE SHIELD
TX
05
—
162606101
—
TX
05
—
872201
—
SC
01
—
8DM120
BCBS
TX
Enumeration date
04/18/2006
Last updated
07/17/2024
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