Provider Demographics
NPI:1356901219
Name:WEBB, CHRIS ANN (CRC, CPRP, MT-BC)
Entity type:Individual
Prefix:MRS
First Name:CHRIS
Middle Name:ANN
Last Name:WEBB
Suffix:
Gender:F
Credentials:CRC, CPRP, MT-BC
Other - Prefix:MRS
Other - First Name:CHRISTELLA
Other - Middle Name:ANN
Other - Last Name:BERMUDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRC, CPRP, MT-BC
Mailing Address - Street 1:12301 MAIN ST.
Mailing Address - Street 2:PROFESSIONALS UNIT
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77035
Mailing Address - Country:US
Mailing Address - Phone:713-275-5309
Mailing Address - Fax:713-275-5280
Practice Address - Street 1:12301 MAIN ST.
Practice Address - Street 2:PROFESSIONALS UNIT
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035
Practice Address - Country:US
Practice Address - Phone:713-275-5309
Practice Address - Fax:713-275-5280
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-13
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX04475225A00000X
TX118591225C00000X
TX175707225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Multi-Specialty
No225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorGroup - Multi-Specialty