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:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:599 UNIVERSITY BLVD APT 517
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665-1085
Mailing Address - Country:US
Mailing Address - Phone:512-954-1476
Mailing Address - Fax:737-252-3455
Practice Address - Street 1:3008 DAWN DR STE 205
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-2822
Practice Address - Country:US
Practice Address - Phone:512-410-4012
Practice Address - Fax:737-252-3455
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-18
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1335316225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist