Fedoruk, Christopher Daniel

Fedoruk, Christopher Daniel is an individual health care provider with primary practice located at 18951 N Memorial Dr , Humble TX 77338-4217. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Fedoruk, Christopher Daniel can be contacted via phone (281) 540-6453.

Contact Information

Primary practice address
18951 N Memorial Dr Humble TX 77338-4217
Phone: (281) 540-6453
Fax: (281) 540-7393
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X M0719 Texas

Profile Details

NPI number 1790899953
LBN Legal business name Fedoruk, Christopher Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Jul 2nd, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790899953 NPPES
Texas MEDICAID 173969005
Texas MEDICAID 173969002
Texas MEDICAID 173969003
Texas MEDICAID 173969001
Texas Other 8AC843

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