Individual
MR. CHRISTOPHER JAMES YOUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
1250 S A W GRIMES BLVD, ROUND ROCK, TX 78664-7429
(512) 310-7665
(512) 310-9228
Mailing address
1250 S A W GRIMES BLVD, ROUND ROCK, TX 78664-7429
(512) 310-7665
(512) 310-9228
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1145928
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031DG
BLUE CROSS BLUE SHIELD
TX
05
—
0944746-02
—
TX
01
—
74-2745294
TAX ID
TX
Enumeration date
01/26/2007
Last updated
08/14/2014
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