Provider Demographics
NPI:1417738188
Name:HELOU-DECOS, CHRISTOPHER R (MS, BS, LMT, MMP)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:R
Last Name:HELOU-DECOS
Suffix:
Gender:M
Credentials:MS, BS, LMT, MMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12315 DRUMMOND MAPLE DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-4706
Mailing Address - Country:US
Mailing Address - Phone:281-771-2149
Mailing Address - Fax:
Practice Address - Street 1:12315 DRUMMOND MAPLE DR
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-4706
Practice Address - Country:US
Practice Address - Phone:281-771-2149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-10
Last Update Date:2023-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT137388225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist