Provider Demographics
NPI:1922428440
Name:MCBAIN, CHRISTA (PT, DPT)
Entity Type:Individual
Prefix:
First Name:CHRISTA
Middle Name:
Last Name:MCBAIN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11211 KATY FWY
Mailing Address - Street 2:#620
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-2126
Mailing Address - Country:US
Mailing Address - Phone:832-962-3778
Mailing Address - Fax:832-532-9775
Practice Address - Street 1:11211 KATY FWY
Practice Address - Street 2:#620
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-2126
Practice Address - Country:US
Practice Address - Phone:832-962-3778
Practice Address - Fax:832-532-9775
Is Sole Proprietor?:No
Enumeration Date:2014-04-23
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12378692251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic