Provider Demographics
NPI:1558869024
Name:ZSIGRAY, CHRISTINA MARLENE (MSW)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:MARLENE
Last Name:ZSIGRAY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:MARLENE
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5419 LANDINO ST
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76114-1628
Mailing Address - Country:US
Mailing Address - Phone:254-291-8302
Mailing Address - Fax:
Practice Address - Street 1:8915 HARRY HINES BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-1717
Practice Address - Country:US
Practice Address - Phone:254-291-8302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-30
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX172V00000X
TX68705101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No101Y00000XBehavioral Health & Social Service ProvidersCounselor