Provider Demographics
NPI:1003406117
Name:POWERS, CHRISTOPHER MICHAEL (MPH, PA-C)
Entity Type:Individual
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First Name:CHRISTOPHER
Middle Name:MICHAEL
Last Name:POWERS
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Gender:M
Credentials:MPH, PA-C
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Mailing Address - Street 1:3712 PURDUE AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-7208
Mailing Address - Country:US
Mailing Address - Phone:214-674-8270
Mailing Address - Fax:
Practice Address - Street 1:3301 MATLOCK RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-2908
Practice Address - Country:US
Practice Address - Phone:682-506-4868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-22
Last Update Date:2021-02-14
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant