Provider Demographics
NPI:1144201716
Name:HANDLOS, CHRISTOPHER (DC)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:HANDLOS
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 1:1311 CHISHOLM TRAIL RD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-2969
Mailing Address - Country:US
Mailing Address - Phone:512-218-4677
Mailing Address - Fax:512-930-1282
Practice Address - Street 1:1311 CHISHOLM TRAIL RD
Practice Address - Street 2:SUITE 304
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-2969
Practice Address - Country:US
Practice Address - Phone:512-218-4677
Practice Address - Fax:512-930-1282
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-09
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC7001111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU63160Medicare UPIN
TX605529Medicare PIN