Provider Demographics
NPI:1548400872
Name:CHRISTINES ENTERPRISES
Entity Type:Organization
Organization Name:CHRISTINES ENTERPRISES
Other - Org Name:CHRISTINES ROYAL TREATMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KONOPKO
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:281-636-7710
Mailing Address - Street 1:7234 CANDA LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-4831
Mailing Address - Country:US
Mailing Address - Phone:281-636-7710
Mailing Address - Fax:
Practice Address - Street 1:6600 HARWIN DR
Practice Address - Street 2:STE 102
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2276
Practice Address - Country:US
Practice Address - Phone:281-636-7710
Practice Address - Fax:281-861-5990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-26
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT105529261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation