Active NPI
Christine Gudan, CNIM
- Electroneurodiagnostic Specialist/Technologist
- The Woodlands, TX
National Provider Identifier
1154767887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- License
- 1048
- Practice address
- 9200 New Trails Dr
200
The Woodlands, TX 77381-5256 - Phone
- (832) 729-0197
- Fax
- (281) 297-9391
- NPI assigned
- May 21, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | 1048 | TX | Primary |
Addresses
Primary practice location
9200 New Trails Dr
200
The Woodlands, TX 77381-5256
Mailing address
9200 New Trails Dr
200
The Woodlands, TX 77381-5256
Phone (832) 729-0197
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1048 | TX | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369094400000",
"number": "1154767887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9200 NEW TRAILS DR",
"address_2": "200",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773815256",
"telephone_number": "832-729-0197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 NEW TRAILS DR",
"address_2": "200",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773815256",
"telephone_number": "832-729-0197",
"fax_number": "281-297-9391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUDAN",
"first_name": "CHRISTINE",
"credential": "CNIM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-21",
"last_updated": "2013-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": "TX",
"license": "1048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.