Individual
MR. CHRISTOPHER TIPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
4800 WILDCAT DR., PORTLAND, TX 78374
(361) 777-4042
Mailing address
201 NORTHSHORE BLVD APT 115, PORTLAND, TX 78374-3813
(325) 212-1453
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6543
TX
Other
Enumeration date
06/03/2016
Last updated
03/16/2018
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