Provider Demographics
NPI:1942854146
Name:DEGES, CHRIS J (RPH)
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:J
Last Name:DEGES
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15911 FM 1954
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76310-0376
Mailing Address - Country:US
Mailing Address - Phone:940-613-1942
Mailing Address - Fax:
Practice Address - Street 1:101 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:TX
Practice Address - Zip Code:76380-2556
Practice Address - Country:US
Practice Address - Phone:940-889-3622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-26
Last Update Date:2019-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK11514183500000X
TX34334183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist