Individual
MRS. CRISTI MARIE TABILAS CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5822 LIMESTONE RIDGE LN, RICHMOND, TX 77469-3651
(434) 203-8965
Mailing address
5822 LIMESTONE RIDGE LN, RICHMOND, TX 77469-3651
(434) 203-8965
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1028325
TX
363LF0000X
Family Nurse Practitioner
Primary
1028325
TX
363LP2300X
Primary Care Nurse Practitioner
1028325
TX
Other
Enumeration date
05/26/2025
Last updated
05/26/2025
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