Provider Demographics
NPI:1073736823
Name:CHRIS L WARFORD OD PA
Entity Type:Organization
Organization Name:CHRIS L WARFORD OD PA
Other - Org Name:TEXAS STATE OPTICAL BAYTOWN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:L
Authorized Official - Last Name:WARFORD
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-427-7374
Mailing Address - Street 1:301 W TEXAS AVE
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77520-7736
Mailing Address - Country:US
Mailing Address - Phone:281-427-7374
Mailing Address - Fax:281-427-6052
Practice Address - Street 1:301 W TEXAS AVE
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77520-7736
Practice Address - Country:US
Practice Address - Phone:281-427-7374
Practice Address - Fax:281-427-6052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2013-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2768TG332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXDF9504OtherMEDICARE RAILROAD GROUP PTAN
TX917647OtherBLOCK
TXP00404652OtherMEDICARE RAILROAD PROVIDER ID
TX15573OtherSPECTERA
TX454-137043 TXMedicaid
TXDF9504OtherMEDICARE RAILROAD
TXP00404652OtherMEDICARE RAILROAD PROVIDER ID
TX15573OtherSPECTERA
TX00454XMedicare PIN