Provider Demographics
NPI:1891112736
Name:WARNER, CHRISTINA VICTORIA (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:VICTORIA
Last Name:WARNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2900 W DALLAS ST APT 338
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-4091
Mailing Address - Country:US
Mailing Address - Phone:630-888-9454
Mailing Address - Fax:
Practice Address - Street 1:4301 GARTH ROAD
Practice Address - Street 2:PLAZA 2, SUITE 303
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77521-3158
Practice Address - Country:US
Practice Address - Phone:462-921-4703
Practice Address - Fax:343-292-1471
Is Sole Proprietor?:No
Enumeration Date:2014-03-27
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXT9278208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program