Provider Demographics
NPI:1043463631
Name:PALMER, CHRISTA A (PA)
Entity Type:Individual
Prefix:
First Name:CHRISTA
Middle Name:A
Last Name:PALMER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-234-0819
Practice Address - Street 1:1330 E 6TH ST STE 204
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-6608
Practice Address - Country:US
Practice Address - Phone:956-969-0021
Practice Address - Fax:956-968-9744
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2022-07-21
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX369823502Medicaid
TX369823501Medicaid
TX613536/GROUP PTANMedicare PIN
TX369823502Medicaid