Basic Information
| Provider Information | |||||||||
| NPI: | 1225020217 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CHENAULT | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | SCROGGS | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1015 E 32ND ST | ||||||||
| Address2: | #101 | ||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787052707 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5124776341 | ||||||||
| FaxNumber: | 5124771148 | ||||||||
| Practice Location | |||||||||
| Address1: | 1015 E 32ND ST | ||||||||
| Address2: | #101 | ||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787052707 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5124776341 | ||||||||
| FaxNumber: | 5124771148 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/17/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 01579 | TX | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.