Provider Demographics
NPI:1174307730
Name:SCRANTON, CHRIS DWAYNE
Entity type:Individual
Prefix:MR
First Name:CHRIS
Middle Name:DWAYNE
Last Name:SCRANTON
Suffix:
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 1:16626 OAK GLEN MEADOWS LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-6680
Mailing Address - Country:US
Mailing Address - Phone:832-652-6793
Mailing Address - Fax:
Practice Address - Street 1:16626 OAK GLEN MEADOWS LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-6680
Practice Address - Country:US
Practice Address - Phone:832-652-6793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health