Provider Demographics
NPI:1467251967
Name:THANG, CHRISTOPHER JAYEE
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:JAYEE
Last Name:THANG
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 UNIVERSITY BLVD
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77555-1305
Mailing Address - Country:US
Mailing Address - Phone:409-772-1215
Mailing Address - Fax:409-772-5056
Practice Address - Street 1:301 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77555-1305
Practice Address - Country:US
Practice Address - Phone:409-772-1215
Practice Address - Fax:409-772-5056
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program