Individual
CHRISTOPHER VERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1600 PROVIDENCE DR, ATTN: TRACI MITCHELL - ADMN, WACO, TX 76707-2261
(254) 313-4200
(254) 313-4326
Mailing address
1600 PROVIDENCE DR, ATTN: TRACI MITCHELL - ADMN, WACO, TX 76707-2261
(254) 313-4200
(254) 313-4326
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
BP10054661
TX
207Q00000X
Family Medicine Physician
Primary
Q9539
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
362939601
MEDICAID
TX
Enumeration date
06/11/2015
Last updated
05/08/2018
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