Basic Information
| Provider Information | |||||||||
| NPI: | 1780034306 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NEAGRA | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | TEOFIL | ||||||||
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| Credential: | D.O | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7142 SAN PEDRO AVE STE 120 | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782166256 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2106615622 | ||||||||
| FaxNumber: | 2106613795 | ||||||||
| Practice Location | |||||||||
| Address1: | 400 BALTIMORE | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782151919 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2102280743 | ||||||||
| FaxNumber: | 2102289749 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/14/2016 | ||||||||
| LastUpdateDate: | 02/10/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 02/10/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 007892 | AZ | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | OS14782 | FL | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RN0300X | T4231 | TX | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
No ID Information.