Provider Demographics
NPI:1164952693
Name:CORONEOS, CHRISTOPHER JAMES (MD MSC FRCSC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JAMES
Last Name:CORONEOS
Suffix:
Gender:M
Credentials:MD MSC FRCSC
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Other - Credentials:
Mailing Address - Street 1:1400 PRESSLER ST. THE UNIVERSITY OF TEXAS MD ANDERSON C
Mailing Address - Street 2:DEPARTMENT OF PLASTIC SURGERY - UNIT 1488
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:713-794-1247
Mailing Address - Fax:713-794-5492
Practice Address - Street 1:1515 HOLOCOMBE BLVD. THE UNIVERSITY OF TEXAS MD ANDERSO
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77502
Practice Address - Country:US
Practice Address - Phone:713-794-1247
Practice Address - Fax:713-794-5492
Is Sole Proprietor?:No
Enumeration Date:2017-06-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10058863390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
CPSO93568OtherCOLLEGE PHYSICIANS SURGEONS