Individual
CHRISTOPHER AYRES BOGAEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4410 MEDICAL DR, STE 610, SAN ANTONIO, TX 78229-6306
(210) 614-2453
(210) 614-4457
Mailing address
4410 MEDICAL DR, STE 610, SAN ANTONIO, TX 78229-6306
(210) 614-2453
(210) 614-4457
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
K8717
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083506801
—
TX
Enumeration date
08/04/2005
Last updated
11/12/2009
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