Individual
CHRISTINE M EADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4810 GATTIS SCHOOL RD STE 100, HUTTO, TX 78634-2037
(512) 312-7230
Mailing address
4810 GATTIS SCHOOL RD STE 100, HUTTO, TX 78634-2037
(512) 312-7230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K5095
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041005201
—
TX
01
—
041005202
MEDICAID TX HEALTHSTEPS
TX
05
—
041005202
—
TX
01
—
82561X
BLUE CROSS BLUE SHIELD
TX
01
—
G76542
UPIN
—
01
—
TXB106274
PTAN
TX
Enumeration date
07/07/2005
Last updated
02/04/2022
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