Provider Demographics
NPI:1134514979
Name:RIZK, CHRISTOPHER BOTROS (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:BOTROS
Last Name:RIZK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 MUIR WOODS DR E
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36693-3464
Mailing Address - Country:US
Mailing Address - Phone:251-605-0634
Mailing Address - Fax:
Practice Address - Street 1:20326 STATE HIGHWAY 249 STE 400
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-2612
Practice Address - Country:US
Practice Address - Phone:281-501-5599
Practice Address - Fax:281-501-5598
Is Sole Proprietor?:No
Enumeration Date:2015-03-30
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXR1118207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program