Provider Demographics
NPI:1467483388
Name:ST MICHEL, CHRISTINA (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:ST MICHEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2255 EAST MOSSY OAKS RD
Mailing Address - Street 2:SUITE 6801
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389
Mailing Address - Country:US
Mailing Address - Phone:281-537-0300
Mailing Address - Fax:281-537-0315
Practice Address - Street 1:13215 DOTSON RD, SUITE 160
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070
Practice Address - Country:US
Practice Address - Phone:281-537-0300
Practice Address - Fax:281-537-0315
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2019-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM4563207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00738136Medicare PIN
TX8K6038Medicare PIN
TX8G8444Medicare PIN