Provider Demographics
NPI:1548438591
Name:TAYLOR, CHRISTINA MARIA (PA-C)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:MARIA
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:MARIA
Other - Last Name:CASTREJANA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:6401 CYPRESSWOOD DR
Mailing Address - Street 2:STE 180
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-8065
Mailing Address - Country:US
Mailing Address - Phone:281-213-9510
Mailing Address - Fax:
Practice Address - Street 1:16211 SPRING CYPRESS RD
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-1707
Practice Address - Country:US
Practice Address - Phone:281-213-3675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-12
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA02655363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant