Provider Demographics
NPI:1104073931
Name:DOAN, CHRISTINE THUY
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:THUY
Last Name:DOAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16938 BIRD CREEK DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-1972
Mailing Address - Country:US
Mailing Address - Phone:713-498-8645
Mailing Address - Fax:832-213-1538
Practice Address - Street 1:16938 BIRD CREEK DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-1972
Practice Address - Country:US
Practice Address - Phone:713-498-8645
Practice Address - Fax:832-213-1538
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-22
Last Update Date:2008-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX707595163WX0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0002XNursing Service ProvidersRegistered NurseObstetric, High-Risk