Provider Demographics
NPI:1477630770
Name:PULIDO, CHRISTOPHER J (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:J
Last Name:PULIDO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3023 MARINA BAY DR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-2882
Mailing Address - Country:US
Mailing Address - Phone:281-538-0878
Mailing Address - Fax:281-535-3550
Practice Address - Street 1:3023 MARINA BAY DR
Practice Address - Street 2:SUITE 104
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-2882
Practice Address - Country:US
Practice Address - Phone:281-538-0878
Practice Address - Fax:281-535-3550
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8474111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0090NAOtherBLUE CROSS / BLUE SHIELD
TX8S7578OtherBLUE CROSS / BLUE SHIELD
TX8S7578OtherBLUE CROSS / BLUE SHIELD