Provider Demographics
NPI:1366409419
Name:HULL, CHRISTOPHER K (DO)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:K
Last Name:HULL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3625 CAMP BOWIE BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76107-3351
Mailing Address - Country:US
Mailing Address - Phone:817-737-8880
Mailing Address - Fax:817-731-9112
Practice Address - Street 1:3625 CAMP BOWIE BLVD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107-3351
Practice Address - Country:US
Practice Address - Phone:817-737-8880
Practice Address - Fax:817-731-9112
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF4102207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX89X990Medicare PIN
TXD97421Medicare UPIN
TX0538180001Medicare NSC