Individual
DR. CHRIS ALAN KNOBBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 BRYAN DR, SUITE 202, DURANT, OK 74701-2156
(580) 931-2247
(580) 931-2249
Mailing address
1400 BRYAN DR, SUITE 202, DURANT, OK 74701-2156
(580) 931-2247
(580) 931-2249
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
20422
OK
207W00000X
Ophthalmology Physician
K0871
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0047MA
BCBS GROUP #
TX
05
—
030659905
—
TX
05
—
100203920A
—
OK
05
—
175548001
—
TX
01
—
331087115
FEDERAL ID #
TX
01
—
4107009
BLUE LINK #
TX
01
—
5044251
AETNA REFERRAL #
TX
01
—
8R1770
BCBS INDIVIDUAL #
TX
Enumeration date
11/03/2005
Last updated
04/12/2011
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