Provider Demographics
NPI:1619367497
Name:OBANDO, CHRISTIAN (NP)
Entity Type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:
Last Name:OBANDO
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:AGUSTIN
Other - Middle Name:
Other - Last Name:OBANDO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:7010 CHAMPIONS PLAZA DR STE 400
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-2395
Mailing Address - Country:US
Mailing Address - Phone:832-698-5330
Mailing Address - Fax:832-698-5321
Practice Address - Street 1:9100 FOREST XING STE A
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-1194
Practice Address - Country:US
Practice Address - Phone:936-755-4412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-30
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP127346363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily