Provider Demographics
NPI:1902207640
Name:WOLFE, CHRISTOPHER NEILL (RN)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:NEILL
Last Name:WOLFE
Suffix:
Gender:M
Credentials:RN
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Mailing Address - Street 1:1105 CENTRAL EXPY N
Mailing Address - Street 2:SUITE 380
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-6103
Mailing Address - Country:US
Mailing Address - Phone:972-747-5830
Mailing Address - Fax:972-747-5841
Practice Address - Street 1:1105 CENTRAL EXPY N
Practice Address - Street 2:SUITE 380
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-6103
Practice Address - Country:US
Practice Address - Phone:972-747-5830
Practice Address - Fax:972-747-5841
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-12
Last Update Date:2015-01-07
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Provider Licenses
StateLicense IDTaxonomies
TXAP127200367500000X
TX750853163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse