Individual
DR. CHRISTOPHER L ALLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
02003208A
IN
208800000X
Urology Physician
032.0097458
VT
208800000X
Urology Physician
5101019084
MI
208800000X
Urology Physician
OS12930
FL
208800000X
Urology Physician
Primary
R1160
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003487901
MEDICARE PTAN LINKED TO CVMC MGP
VT
05
—
1022124
—
VT
Enumeration date
05/23/2007
Last updated
02/10/2022
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