Christopher Michael Petiprin
Contractor in Austin, TX. Individual provider (NPI-1).
NPI number1336799667
StatusActive
Last updated in NPPESSep 18, 2019
Details
- NPI
- 1336799667
- Entity type
- Individual (NPI-1)
- Name
- Christopher Michael Petiprin
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 18, 2019
- Last updated
- Sep 18, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | – | – | Yes |
Practice location
4100 Duval RdBuilding 3, Suite 100
Austin, TX 78759-3550
Phone 512-550-8828
Mailing address
Po Box 201652Austin, TX 78720-1652
Phone 512-550-8828
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