Provider Demographics
NPI:1407818479
Name:BELL, CHRISTOPHER L (MD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:L
Last Name:BELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7777 FOREST LN
Mailing Address - Street 2:A214
Mailing Address - City:DALLAS,
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2556
Mailing Address - Country:US
Mailing Address - Phone:972-566-7860
Mailing Address - Fax:972-566-6673
Practice Address - Street 1:7777 FOREST LN
Practice Address - Street 2:A214
Practice Address - City:DALLAS,
Practice Address - State:TX
Practice Address - Zip Code:75230-2556
Practice Address - Country:US
Practice Address - Phone:972-566-7860
Practice Address - Fax:972-566-6673
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-05
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6783208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX612480Medicare PIN
I31022Medicare UPIN