Individual
CHRIS DIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
509 MEDICAL CENTER RD, FORT CAVAZOS, TX 76544
(545) 533-8082
Mailing address
509 MEDICAL CENTER RD, FORT CAVAZOS, TX 76544
(254) 553-3808
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102204789
VA
208D00000X
General Practice Physician
0102204789
VA
208M00000X
Hospitalist Physician
Primary
0102204789
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/29/2016
Last updated
09/07/2023
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