Basic Information
| Provider Information | |||||||||
| NPI: | 1881779502 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | EISENHAUER | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | N | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D, D.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1400 S COULTER ST | ||||||||
| Address2: | SUITE 5100 | ||||||||
| City: | AMARILLO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 791061786 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8064149559 | ||||||||
| FaxNumber: | 8063513765 | ||||||||
| Practice Location | |||||||||
| Address1: | 1400 S COULTER ST | ||||||||
| Address2: | SUITE 5100 | ||||||||
| City: | AMARILLO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 79106 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8064149559 | ||||||||
| FaxNumber: | 8063513765 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/25/2006 | ||||||||
| LastUpdateDate: | 06/29/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111N00000X | 8765 | TX | N | Chiropractic Providers | Chiropractor | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207Q00000X | Q9601 | TX | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.