Individual
DR. CHRISTOPHER BAILLIE HEARNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4945 WILLIAMS DR, GEORGETOWN, TX 78628-2008
(512) 819-0500
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
F6731
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84375F
BLUE SHIELD
TX
Enumeration date
03/25/2006
Last updated
05/07/2020
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