Individual
CHRISTIAN MARK SCHUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13802 CENTERFIELD DR STE 300, HOUSTON, TX 77070-6043
(281) 737-0902
Mailing address
13802 CENTERFIELD DR STE 300, HOUSTON, TX 77070-6043
(281) 737-0902
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L8943
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00J21A
GROUP MEDICARE NUMBER
TX
01
—
094010801
GROUP MEDICAID NUMBER
TX
05
—
219170206
—
TX
Enumeration date
01/08/2007
Last updated
03/18/2019
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