Provider Demographics
NPI:1295533644
Name:COMERFORD, CHRISTINE (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:COMERFORD
Suffix:
Gender:
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9605 EVENING CANOPY DR
Mailing Address - Street 2:
Mailing Address - City:MANOR
Mailing Address - State:TX
Mailing Address - Zip Code:78653-2377
Mailing Address - Country:US
Mailing Address - Phone:512-698-5536
Mailing Address - Fax:
Practice Address - Street 1:9605 EVENING CANOPY DR
Practice Address - Street 2:
Practice Address - City:MANOR
Practice Address - State:TX
Practice Address - Zip Code:78653-2377
Practice Address - Country:US
Practice Address - Phone:512-698-5536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL-15180163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant