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Individual

MR. CHRISTOPHER D CASEBOLT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSN, FNP-BC, FNP-C

Contact information

Practice address
126 W SAN AUGUSTINE ST, DEER PARK, TX 77536-4024
(281) 884-8100
Mailing address
730 S CLARK ST APT 1310, CHICAGO, IL 60605-1748
(404) 825-1690

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1154853
TX
363LF0000X
Family Nurse Practitioner
17143-33
WI
363LF0000X
Family Nurse Practitioner
209.031687
IL
363LF0000X
Family Nurse Practitioner
237589
LA
363LF0000X
Family Nurse Practitioner
36332
TN
363LF0000X
Family Nurse Practitioner
80291
NM

Other

Enumeration date
03/08/2024
Last updated
10/30/2025
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