Individual
CHRISTOPHER SHANE OVERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1500 CITYWEST BLVD, SUITE 300, HOUSTON, TX 77042-2300
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 715-5000
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.394636
IL
367500000X
Certified Registered Nurse Anesthetist
117109
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
AP132459
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
365182001
—
TX
05
—
365182002
—
TX
01
—
8827UN
BCBS
TX
01
—
P01757249
RR
TX
Enumeration date
11/04/2011
Last updated
11/09/2023
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