Provider Demographics
NPI:1568503084
Name:DUFFY, CHRIS T (LM)
Entity type:Individual
Prefix:MS
First Name:CHRIS
Middle Name:T
Last Name:DUFFY
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:903 FORSYTHE LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77073-1260
Mailing Address - Country:US
Mailing Address - Phone:281-732-7816
Mailing Address - Fax:
Practice Address - Street 1:903 FORSYTHE LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77073-1260
Practice Address - Country:US
Practice Address - Phone:281-732-7816
Practice Address - Fax:281-443-9006
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX96146176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife