Provider Demographics
NPI:1083607980
Name:LITTRELL, CHRISTINA P (MD PS)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:P
Last Name:LITTRELL
Suffix:
Gender:F
Credentials:MD PS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4224 SWISS AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-8134
Mailing Address - Country:US
Mailing Address - Phone:214-821-9938
Mailing Address - Fax:
Practice Address - Street 1:4224 SWISS AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-8134
Practice Address - Country:US
Practice Address - Phone:214-821-9938
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7801207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1684490-01Medicaid
TX1684490-01Medicaid
TX611074Medicare PIN