Provider Demographics
NPI:1780878546
Name:ANDERSON, CHRISTOPHER DAVID (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:DAVID
Last Name:ANDERSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 E MEDICAL CENTER BLVD
Mailing Address - Street 2:APT. 218
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4346
Mailing Address - Country:US
Mailing Address - Phone:832-623-2614
Mailing Address - Fax:
Practice Address - Street 1:20035 W LAKE HOUSTON PKWY
Practice Address - Street 2:SUITE 500
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-3435
Practice Address - Country:US
Practice Address - Phone:281-812-1078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10713111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor