Provider Demographics
NPI:1346557873
Name:MCIVER, CHRISTOPHER RANDALL (CNIM)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:RANDALL
Last Name:MCIVER
Suffix:
Gender:M
Credentials:CNIM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:524 EXCHANGE AVE
Mailing Address - Street 2:STE C
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-2116
Mailing Address - Country:US
Mailing Address - Phone:210-269-7108
Mailing Address - Fax:210-566-1330
Practice Address - Street 1:524 EXCHANGE AVE
Practice Address - Street 2:STE C
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-2116
Practice Address - Country:US
Practice Address - Phone:210-269-7108
Practice Address - Fax:210-566-1330
Is Sole Proprietor?:No
Enumeration Date:2010-09-03
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX913246ZE0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic