Individual
DR. CHRISTOPHER MACDONALD DEBACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1314 E SONTERRA BLVD, SUITE 5104, SAN ANTONIO, TX 78258-4278
(210) 495-2367
Mailing address
PO BOX 592329, SAN ANTONIO, TX 78259-0166
(210) 495-2367
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
G85368
CA
207W00000X
Ophthalmology Physician
N5646
TX
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
N5646
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXB101680
INDIVIDUAL PTAN
TX
Enumeration date
05/03/2006
Last updated
04/19/2018
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