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Individual

CHRISTOPHER ANTHONY EWING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1201 W 38TH ST, AUSTIN, TX 78705-1006
(512) 324-1010
Mailing address
2198 LAKESHORE DR, CANYON LAKE, TX 78133-2926

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L8333
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
168752702
TX
05
168752703
TX
05
168752707
TX
05
168752710
TX
01
8G5591
BCBS
TX
01
8M6791
BCBS
TX
01
8R5601
BCBS
TX
01
8U8779
BCBS
TX
Enumeration date
04/27/2006
Last updated
03/25/2008
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