Provider Demographics
NPI:1902840853
Name:NORRIS, CHRISTOPHER J (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:J
Last Name:NORRIS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3801 WILLIAM D TATE AVE
Mailing Address - Street 2:STE 105
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-8755
Mailing Address - Country:US
Mailing Address - Phone:817-488-6812
Mailing Address - Fax:817-251-1303
Practice Address - Street 1:4907 S COLLINS ST
Practice Address - Street 2:SUITE 101
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76018-1156
Practice Address - Country:US
Practice Address - Phone:817-375-0610
Practice Address - Fax:817-375-0640
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2016-03-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM1270207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00789314OtherRAILROAD MEDICARE
TX8CE294OtherBCBS
TX174073007Medicaid
TX174073005Medicaid
TX174073007Medicaid
8F23294Medicare PIN