Individual
CHRISTODOULOS S CHRISTODOULOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2141 HAMILTON WAY, SAN ANGELO, TX 76904-6831
(325) 747-2480
Mailing address
1650 HIGHWAY 16 S., BANDERA, TX 78009
(830) 796-7713
(830) 796-7744
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
P1628
TX
207KA0200X
Allergy Physician
P1628
TX
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
P1628
TX
Other
Enumeration date
07/02/2012
Last updated
03/21/2023
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