Provider Demographics
NPI:1265322168
Name:SHRADER, CHRISTINA ROCHELLE (NP)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:ROCHELLE
Last Name:SHRADER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 FM 1127 RD
Mailing Address - Street 2:
Mailing Address - City:SHEPHERD
Mailing Address - State:TX
Mailing Address - Zip Code:77371-6573
Mailing Address - Country:US
Mailing Address - Phone:936-328-3498
Mailing Address - Fax:
Practice Address - Street 1:11 WOODLAND PARK DR
Practice Address - Street 2:
Practice Address - City:SHEPHERD
Practice Address - State:TX
Practice Address - Zip Code:77371-6495
Practice Address - Country:US
Practice Address - Phone:936-628-1100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF06250444363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily