Provider Demographics
NPI:1649397647
Name:GULDE, CHRISTOPHER GERARD (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:GERARD
Last Name:GULDE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 NE LOOP 410
Mailing Address - Street 2:SUITE 800
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-4700
Mailing Address - Country:US
Mailing Address - Phone:469-282-2711
Mailing Address - Fax:469-282-2304
Practice Address - Street 1:8627 CINNAMON CREEK DR
Practice Address - Street 2:BLDG. 1
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1480
Practice Address - Country:US
Practice Address - Phone:210-641-5437
Practice Address - Fax:210-641-6420
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ5583208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX125069804Medicaid
TX87502NMedicare PIN
TXG21515Medicare UPIN