Provider Demographics
NPI:1962604256
Name:EGBUNA, CHRISTIAN II
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:
Last Name:EGBUNA
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7211 REGENCY SQUARE BLVD
Mailing Address - Street 2:221
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-3138
Mailing Address - Country:US
Mailing Address - Phone:713-782-8445
Mailing Address - Fax:713-268-1148
Practice Address - Street 1:7211 REGENCY SQUARE BLVD
Practice Address - Street 2:221
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3138
Practice Address - Country:US
Practice Address - Phone:713-782-8445
Practice Address - Fax:713-268-1148
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health