Individual
MR. CHRISTIAN DJUANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7777 FOREST LN, DALLAS, TX 75230-2571
(972) 566-7000
Mailing address
15 SWALLOW TAIL CT, THE WOODLANDS, TX 77381-3816
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA08193
TX
363AM0700X
Medical Physician Assistant
PA08193
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
315393401
—
TX
Enumeration date
12/05/2012
Last updated
06/19/2013
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