Provider Demographics
NPI:1639592173
Name:NATOLI, CHRIS
Entity Type:Individual
Prefix:MRS
First Name:CHRIS
Middle Name:
Last Name:NATOLI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 LEGEND OAKS DR
Mailing Address - Street 2:
Mailing Address - City:DALE
Mailing Address - State:TX
Mailing Address - Zip Code:78616-2301
Mailing Address - Country:US
Mailing Address - Phone:512-773-2605
Mailing Address - Fax:
Practice Address - Street 1:2002 SOUTHERN OAKS DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-2781
Practice Address - Country:US
Practice Address - Phone:512-773-2605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-03
Last Update Date:2014-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX01012171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist