Provider Demographics
NPI:1245982420
Name:CHRISTIANSEN, DARREN JAMES (DC)
Entity type:Individual
Prefix:DR
First Name:DARREN
Middle Name:JAMES
Last Name:CHRISTIANSEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10221 BLUE SKIES DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75072-3336
Mailing Address - Country:US
Mailing Address - Phone:714-854-4834
Mailing Address - Fax:
Practice Address - Street 1:11550 LEGACY DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-1997
Practice Address - Country:US
Practice Address - Phone:972-377-0600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-19
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14997111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor