Provider Demographics
NPI:1295737245
Name:PUTNEY, CHRISTOPHER G (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:G
Last Name:PUTNEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7200 WYOMING SPGS
Mailing Address - Street 2:STE 600
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-4305
Mailing Address - Country:US
Mailing Address - Phone:512-244-1995
Mailing Address - Fax:512-244-2090
Practice Address - Street 1:7200 WYOMING SPGS
Practice Address - Street 2:STE 600
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-4305
Practice Address - Country:US
Practice Address - Phone:512-244-1995
Practice Address - Fax:512-244-2090
Is Sole Proprietor?:No
Enumeration Date:2005-06-02
Last Update Date:2010-07-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ7837207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1638905OtherCGP FH PPO
TX5388691OtherCGP AETNA HMO
TX81341SOtherCGP OLD HMO BLUE
TX5388691OtherCGP AETNA PPO
TX5837196003OtherCGP CIGNA HMO
TX81341SOtherCGP BLUE HMO
TX080130593OtherRRB MEDICARE UNIT
TX121902100OtherCGP PHCS PPO
TX742690907OtherCGP ST D PPO
TX5837196004OtherCGP CIGNA PPO
TX81341SOtherCGP BLUE PPO
TX1638905OtherCGP FH PPO
TX5837196003OtherCGP CIGNA HMO