MR. CHRISTIAN DJUANDA


Address: 7777 Forest Ln, Dallas, TX 75230-2571
Phone: 9725667000

MR. CHRISTIAN DJUANDA (NPI# 1518202381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518202381
Entity Type Individual
Full Name MR. CHRISTIAN DJUANDA
Credential PA-C
Practice Address 7777 Forest Ln
Dallas
TX 75230-2571
Mailing Address 15 Swallow Tail Ct
The Woodlands
TX 77381-3816
Practice Telephone 9725667000
Enumeration Date 2012-12-05
Last Update Date 2013-06-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA08193 TX Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
PA08193 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 315393401 05

Office Location

Street Address 7777 FOREST LN
City DALLAS
State TX
Zip Code 75230-2571

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376546101 Frederick J Duffy Jr. Plastic Surgery 7777 Forest Ln, Ste C504, Dallas, TX 75230 2005-05-24
1710586870 Dessy Santika Adont Nurse Practitioner 7777 Forest Ln, Dallas, TX 75230-2571 2020-10-20
1003433913 Kasey Rehme Speech-Language Pathologist 7777 Forest Ln, Dallas, TX 75230-2571 2020-06-26
1083230015 Abigail Anne Plec Physician Assistant 7777 Forest Ln, Dallas, TX 75230-2571 2020-06-25
1225650500 Minh Nguyen Pharmacist 7777 Forest Ln, Dallas, TX 75230-2571 2020-05-10
1578184297 Hk Anesthesia Services Pllc Anesthesiology 7777 Forest Ln, Dallas, TX 75230-2571 2020-05-05
1225657018 Kristina Marie George Nurse Practitioner 7777 Forest Ln, Dallas, TX 75230-2571 2020-04-11
1376176024 Carla Patricia Jimenez Santillan Nurse Practitioner 7777 Forest Ln, Dallas, TX 75230-2571 2020-02-20
1508496795 Kafayat Oritola Nurse Practitioner 7777 Forest Ln, Dallas, TX 75230-2571 2020-01-16
1699315630 Rachel Kimberly Harris Occupational Therapist 7777 Forest Ln, Dallas, TX 75230-2571 2020-01-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912552415 Kyoto Medical Services, Pllc Orthopaedic Surgery 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 2019-08-02
1528538170 Angel Laamber Adams Nurse Practitioner 7777 Forest Lane Suite C 833, Dallas, TX 75230 2018-11-27
1538634399 Tochukwu Chioma Uche-ukah Nurse Practitioner Dr Katari, Encompass Health Rehabilitations, 7930 Northaven Rd, Dallas, TX 75230 2018-10-09
1790260958 Ability Aba, Pllc Behavioral Analyst 5930 Royal Lane Ste E, #301, Dallas, TX 75230 2018-10-03
1750887956 Brandi Nicole Freeman Behavioral Analyst 5639 Mcshann Rd, Dallas, TX 75230 2018-04-05
1326547720 Whitney A Stewart Psychologist 5924 Royal Lane, Ste 258, Preston Hollow Health & Wellness, Dallas, TX 75230 2018-02-12
1407384373 Walgreen Co Durable Medical Equipment & Medical Supplies 7859 Walnut Hill Ln Ste 110, Dallas, TX 75230 2017-05-23
1215488648 The Walker Wellness Clinic Community/Behavioral Health 12200 Preston Rd., Dallas, TX 75230 2016-10-20
1578912325 Renat Kudyakov Nurse Practitioner 7777 Forest Ln Ste B-446, Dallas, TX 75230 2016-06-11
1407210982 Rohan Venugopal Menon Pediatrics 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 2016-04-11
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932700440 Heather Weir Physician Assistant 7331 Gaston Ave Ste 180, Dallas, TX 75214-4131 2020-11-03
1225643562 Yermiahu Levi Sarne Physician Assistant 6206 Preston Crest Ln, Dallas, TX 75230-1828 2020-09-14
1255945564 Amanda Michelle Flores Physician Assistant 1801 Young St, Dallas, TX 75201 2020-09-03
1275151102 Kelly Ashworth Physician Assistant 7331 Gaston Ave # 180, Dallas, TX 75214-4131 2020-07-07
1780201715 Gabriela Yvonne Camacho Physician Assistant 7331 Gaston Ave Unit 180, Dallas, TX 75214-4131 2020-06-25
1346879699 Ws Neuroassist, Pllc Physician Assistant 7324 Gaston Ave Ste 124-80, Dallas, TX 75214-6126 2020-04-07
1265065122 Sarah Bell Stewart Physician Assistant 7811 Bryn Mawr Dr, Dallas, TX 75225-8217 2020-02-19
1093348237 Meagan Lee Barry Physician Assistant 221 W Colorado Blvd Ste 431, Dallas, TX 75208-2312 2020-02-17
1245863554 Melissa Ann Johnston Physician Assistant 4373 Boca Bay Dr, Dallas, TX 75244-7408 2020-02-14
1205479607 Mj Surgical, Pllc Physician Assistant 1408 N Riverfront Blvd # 906, Dallas, TX 75207-3912 2019-10-18
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Competitor

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City DALLAS
Zip Code 75230

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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