Provider Demographics
NPI:1972831386
Name:ACHO, CHRISTIANA N (NP)
Entity Type:Individual
Prefix:
First Name:CHRISTIANA
Middle Name:N
Last Name:ACHO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11999 DALLAS PKWY
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-4272
Mailing Address - Country:US
Mailing Address - Phone:214-872-1500
Mailing Address - Fax:
Practice Address - Street 1:11999 DALLAS PKWY
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4272
Practice Address - Country:US
Practice Address - Phone:214-872-1500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-23
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX531321363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX208362801Medicaid
TX208362801Medicaid