Individual
CHAD R CHRISTOPHERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 CAMDEN ST, SUITE 102, SAN ANTONIO, TX 78215-2012
(210) 281-9800
(210) 281-1001
Mailing address
311 CAMDEN ST, SUITE 102, SAN ANTONIO, TX 78215-2012
(210) 281-9800
(210) 281-1001
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
M7913
TX
207RI0011X
Interventional Cardiology Physician
Primary
M7913
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201587701
—
TX
Enumeration date
12/01/2005
Last updated
09/16/2014
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