Provider Demographics
NPI:1710245378
Name:BRODA, CHRISTOPHER ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:ROBERT
Last Name:BRODA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 BAYLOR PLZ
Mailing Address - Street 2:BMC 320
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-3411
Mailing Address - Country:US
Mailing Address - Phone:832-824-1170
Mailing Address - Fax:832-825-9302
Practice Address - Street 1:1 BAYLOR PLZ
Practice Address - Street 2:BMC 320
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3411
Practice Address - Country:US
Practice Address - Phone:832-824-1170
Practice Address - Fax:832-825-9302
Is Sole Proprietor?:No
Enumeration Date:2012-05-01
Last Update Date:2020-05-24
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Provider Licenses
StateLicense IDTaxonomies
TXQ40472080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology