Individual
CHRISTOPHER P DEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3705 MEDICAL PKWY, SUITE 320, AUSTIN, TX 78705-1019
(512) 454-0392
(512) 454-1233
Mailing address
3705 MEDICAL PKWY, SUITE 320, AUSTIN, TX 78705-1019
(512) 454-0392
(512) 454-1233
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G8075
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116381801
—
TX
01
—
804490
BCBS
TX
Enumeration date
10/04/2006
Last updated
02/02/2012
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