Individual
DR. CHRISTINE D DESOCARRAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
304 COIT RD, SUITE 900, PLANO, TX 75075-5721
(972) 312-1806
(972) 312-9401
Mailing address
304 COIT RD, SUITE 900, PLANO, TX 75075-5721
(972) 312-1806
(972) 312-9401
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
F7736
UT
208D00000X
General Practice Physician
F7736
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132080603
—
TX
01
—
613563
MEDICARE PTAN
TX
01
—
89041G
BCBS OF TEXAS
TX
01
—
OOTG92
BLUE CROSS BLUE SHIELD OF TEXAS
TX
Enumeration date
10/18/2005
Last updated
03/25/2016
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