Individual
MR. CHRISTOPHER MICHAEL SHADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
4717 BAILEY RD, PEARLAND, TX 77584-6023
(281) 727-1635
Mailing address
1125 WOODCHASE DR, PEARLAND, TX 77581-6732
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2115
TX
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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