Provider Demographics
NPI:1396185484
Name:TREADAWAY, CHRISTOPHER PAUL
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:PAUL
Last Name:TREADAWAY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2317 W UNIVERSITY DR
Mailing Address - Street 2:#107
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-1600
Mailing Address - Country:US
Mailing Address - Phone:940-387-9200
Mailing Address - Fax:940-387-9206
Practice Address - Street 1:2317 W UNIVERSITY DR
Practice Address - Street 2:#107
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-1600
Practice Address - Country:US
Practice Address - Phone:940-387-9200
Practice Address - Fax:940-387-9206
Is Sole Proprietor?:No
Enumeration Date:2013-07-03
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80615237700000X
TX11182237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist