Provider Demographics
NPI:1962413971
Name:FREEMAN, CHRISTIAN M (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:M
Last Name:FREEMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:534 N LHS DR
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:TX
Mailing Address - Zip Code:77657-8623
Mailing Address - Country:US
Mailing Address - Phone:409-299-8889
Mailing Address - Fax:866-371-6213
Practice Address - Street 1:534 N LHS DR
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:TX
Practice Address - Zip Code:77657-8623
Practice Address - Country:US
Practice Address - Phone:409-299-8889
Practice Address - Fax:866-371-6213
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1683208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L4358Medicare Oscar/Certification