Individual
CHRISETTE DHARMAGUNARATNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5959 HARRY HINES BLVD, SUITE 200, DALLAS, TX 75235-6234
(214) 393-2940
(214) 393-2945
Mailing address
8877 HARRY HINES BLVD, SUITE 100, DALLAS, TX 75235-1715
(214) 393-2940
(214) 393-2945
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K2891
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0084EG
BCBS
TX
01
—
5201761
AETNA
TX
Enumeration date
01/02/2006
Last updated
01/19/2011
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