Provider Demographics
NPI:1811218662
Name:OBI, CHRISTIANA ROSE (DO)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIANA
Middle Name:ROSE
Last Name:OBI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28711 BANDELIER CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-1392
Mailing Address - Country:US
Mailing Address - Phone:713-659-9679
Mailing Address - Fax:
Practice Address - Street 1:1017 S TRAVIS AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TX
Practice Address - Zip Code:77327-5152
Practice Address - Country:US
Practice Address - Phone:281-592-5400
Practice Address - Fax:281-659-9790
Is Sole Proprietor?:No
Enumeration Date:2010-06-16
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT67570207L00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program