Individual
JARED CHRISTIANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
7600 BEECHNUT ST., HOUSTON, TX 77074-4389
(713) 456-5151
Mailing address
5423 W FARM WAY, FULSHEAR, TX 77441-3713
(503) 949-4086
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05496
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA05496
TX. LICENSE
TX
Enumeration date
03/03/2008
Last updated
03/04/2015
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