Individual
CHRISTOPHER JORDAN DELA HOUSSAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604
(423) 431-6111
Mailing address
1200 HARGER RD STE 408, OAK BROOK, IL 60523-1818
(435) 633-5536
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
DO3525
TN
2085R0202X
Diagnostic Radiology Physician
Primary
DO3525
TN
Other
Enumeration date
07/08/2011
Last updated
06/21/2019
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