Provider Demographics
NPI:1477623551
Name:CHRISTOPHER, LARRY D (MD)
Entity Type:Individual
Prefix:DR
First Name:LARRY
Middle Name:D
Last Name:CHRISTOPHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7501 LAKEVIEW PKWY STE 245
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-9326
Mailing Address - Country:US
Mailing Address - Phone:972-475-8252
Mailing Address - Fax:972-436-1603
Practice Address - Street 1:7501 LAKEVIEW PKWY STE 245
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-9326
Practice Address - Country:US
Practice Address - Phone:972-475-8252
Practice Address - Fax:972-463-1603
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2014-10-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN3565207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine