Provider Demographics
NPI:1992843668
Name:CHRISTOLA PA
Entity Type:Organization
Organization Name:CHRISTOLA PA
Other - Org Name:HOPE DIGESTIVE & LIVER DISEASE CLINIC OF HOUSTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:UGBAR UGBA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-237-0000
Mailing Address - Street 1:11302 FALLBROOK DR
Mailing Address - Street 2:SUITE 306
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-4235
Mailing Address - Country:US
Mailing Address - Phone:832-237-0000
Mailing Address - Fax:281-469-1826
Practice Address - Street 1:11302 FALLBROOK DR
Practice Address - Street 2:SUITE 306
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-4235
Practice Address - Country:US
Practice Address - Phone:832-237-0000
Practice Address - Fax:281-469-1826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6203207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00578VMedicare PIN