Provider Demographics
NPI:1336635465
Name:PILOLA, CHRISTIAN SEAN
Entity Type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:SEAN
Last Name:PILOLA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3515 ALMOND CREEK DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77059-2819
Mailing Address - Country:US
Mailing Address - Phone:281-787-2112
Mailing Address - Fax:
Practice Address - Street 1:3515 ALMOND CREEK DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77059-2819
Practice Address - Country:US
Practice Address - Phone:281-787-2112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-01
Last Update Date:2018-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer