Provider Demographics
NPI:1730496720
Name:CIANCI, CHRIS BRIAN (DO)
Entity Type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:BRIAN
Last Name:CIANCI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3315 UNICORN LAKE BLVD STE 171
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-0127
Mailing Address - Country:US
Mailing Address - Phone:940-320-2188
Mailing Address - Fax:
Practice Address - Street 1:3315 UNICORN LAKE BLVD STE 171
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-0127
Practice Address - Country:US
Practice Address - Phone:940-320-2188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-12
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP5788207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX478899YKTPMedicare PIN