Provider Demographics
NPI:1427195171
Name:WOFFORD, CHRISTOPHER BRIEN (DO)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:BRIEN
Last Name:WOFFORD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 HUNTERS VLG
Mailing Address - Street 2:SUITE B
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-4742
Mailing Address - Country:US
Mailing Address - Phone:830-627-8300
Mailing Address - Fax:830-627-8312
Practice Address - Street 1:221 HUNTERS VLG
Practice Address - Street 2:SUITE B
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78132-4742
Practice Address - Country:US
Practice Address - Phone:830-627-8300
Practice Address - Fax:830-627-8312
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL4812207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0046NWOtherBLUE CROSS PROVIDER #
TX157967401Medicaid
TX0046NWOtherBLUE CROSS PROVIDER #
TXH76300Medicare UPIN