Basic Information
| Provider Information | |||||||||
| NPI: | 1811218662 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OBI | ||||||||
| FirstName: | CHRISTIANA | ||||||||
| MiddleName: | ROSE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.O | ||||||||
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| Mailing Information | |||||||||
| Address1: | 28711 BANDELIER CT | ||||||||
| Address2: | |||||||||
| City: | KATY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774941392 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7136599679 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1017 S TRAVIS AVE | ||||||||
| Address2: | |||||||||
| City: | CLEVELAND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 773275152 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2815925400 | ||||||||
| FaxNumber: | 2816599790 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/16/2010 | ||||||||
| LastUpdateDate: | 05/20/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/20/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 67570 | CT | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.