Doctor Name: | CHRISTOPHER DELANGE |
NPI Number: | 1609114651 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | |
Business Practice Address: | 2200 Bergquist Dr Whasc/psychiatry-59 Mhs/sgowv1 Suite 1 Lackland A F B, TX - 782369907 |
Business Phone Number: | 2102925941 |
Business Fax Number: | |
Mailing Address: | 2200 Bergquist Drive, Ste 1 59 Mhf/sgow LACKLAND AFB |
State: | TX |
Postal Code: | 782369908 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/26/2013 |
NPI Last Update Date: | 11/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy 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. |