Individual
CHRISTA STANDEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-6299
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1860
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
AP142062
TX
2080P0214X
Pediatric Pulmonology Physician
AP142062
TX
363LF0000X
Family Nurse Practitioner
Primary
810497
TX
Other
Enumeration date
09/19/2019
Last updated
04/09/2021
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