Provider Demographics
NPI:1780034306
Name:NEAGRA, CHRISTOPHER TEOFIL (DO)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:TEOFIL
Last Name:NEAGRA
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 1:7142 SAN PEDRO AVE STE 120
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-6256
Mailing Address - Country:US
Mailing Address - Phone:210-661-5622
Mailing Address - Fax:210-661-3795
Practice Address - Street 1:400 BALTIMORE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78215-1919
Practice Address - Country:US
Practice Address - Phone:210-228-0743
Practice Address - Fax:210-228-9749
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-14
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ007892207R00000X
FLOS14782207R00000X
TXT4231207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine