Provider Demographics
NPI:1568734457
Name:ROYAL, CHRISTOPHER LANE
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:LANE
Last Name:ROYAL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13203 VINEYARD FALLS DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-7907
Mailing Address - Country:US
Mailing Address - Phone:832-774-6394
Mailing Address - Fax:
Practice Address - Street 1:13203 VINEYARD FALLS DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-7907
Practice Address - Country:US
Practice Address - Phone:832-774-6394
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-07
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide