Provider Demographics
NPI:1750089793
Name:WARREN, CHRISTOPHER PAUL (LAT)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:PAUL
Last Name:WARREN
Suffix:
Gender:M
Credentials:LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NEW CANEY HIGH SCHOOL
Mailing Address - Street 2:21650 TX LOOPLOOP 494
Mailing Address - City:NEW CANEY
Mailing Address - State:TX
Mailing Address - Zip Code:77357
Mailing Address - Country:US
Mailing Address - Phone:281-577-2800
Mailing Address - Fax:
Practice Address - Street 1:NEW CANEY ISD
Practice Address - Street 2:21580 LOOP 494
Practice Address - City:NEW CANEY
Practice Address - State:TX
Practice Address - Zip Code:77357
Practice Address - Country:US
Practice Address - Phone:281-577-2800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT47512255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer