Individual
CHRISTI M TUPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6000 S STAPLES ST, SUITE 406, CORPUS CHRISTI, TX 78413-2952
(361) 993-4835
(361) 993-7043
Mailing address
6000 S STAPLES ST, SUITE 406, CORPUS CHRISTI, TX 78413-2952
(361) 993-4835
(361) 993-7043
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L4769
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00100267
CHIPS PROVIDER ID
TX
01
—
0029JV
BLUE CROSS PROVIDER NUMER
TX
05
—
154517002
—
TX
Enumeration date
06/14/2005
Last updated
06/17/2014
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