Provider Demographics
NPI:1730788118
Name:ESTRADA, CHRISTIAN BRENDEN (DPT)
Entity type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:BRENDEN
Last Name:ESTRADA
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1903 MARYSOL TRL
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-7214
Mailing Address - Country:US
Mailing Address - Phone:512-954-1476
Mailing Address - Fax:512-533-0003
Practice Address - Street 1:4700 CAMPUS VILLAGE DR STE 150
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-3027
Practice Address - Country:US
Practice Address - Phone:512-439-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-18
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1335316225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist