Individual
DR. CHRISTOPHER MICHAEL HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMSC, MPAS, PA-C
Contact information
Practice address
1000 LIPSCOMB ST, FORT WORTH, TX 76104-3180
(817) 348-8600
Mailing address
1000 LIPSCOMB ST, FORT WORTH, TX 76104-3180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11002
TX
Other
Enumeration date
09/30/2008
Last updated
03/15/2024
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