Provider Demographics
NPI:1437294550
Name:PERKINS, CHRISTOPHER C (PA-C)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:C
Last Name:PERKINS
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13411 HILLIARD ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77034-5635
Mailing Address - Country:US
Mailing Address - Phone:281-464-4611
Mailing Address - Fax:281-464-4625
Practice Address - Street 1:13411 HILLIARD ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77034-5635
Practice Address - Country:US
Practice Address - Phone:281-464-4611
Practice Address - Fax:281-464-4625
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPA61024359363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJVAD000OtherUPIN