person
Christina Chanthanivong, DO
Student in an Organized Health Care Education/Training Program in Fort Worth, Texas
NPI 1023695046

Christina Chanthanivong is a Student in an Organized Health Care Education/Training Program based in Fort Worth, TX. Christina Chanthanivong practices in Fort Worth, TX and has the professional credentials of DO. The NPI Number for Christina Chanthanivong is 1023695046 and holds a License No. (Texas).

The current practice location address for Christina Chanthanivong is 1400 8Th Ave, Fort Worth, TX and can be reached out via phone at 469-583-0244 and via fax at 817-927-6171.

Location: 1400 8Th Ave, Fort Worth, TX, 76104-4110
person
Provider Profile Details
NPI Number
1023695046
Provider Name
Christina Chanthanivong
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1400 8Th Ave, Fort Worth, TX, 76104-4110
Phone Number
469-583-0244
Fax Number
817-927-6171
Provider Enumeration Date
03/25/2021
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
1400 8Th Ave
City
State
Zip
76104-4110
Phone Number
469-583-0244
Fax Number
817-927-6171
person
Provider Business Mailing Address Details
Address
1400 8Th Ave
City
State
Zip
76104-4110
Phone Number
469-583-0244
Fax Number
817-927-6171
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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