Provider Demographics
NPI:1265966725
Name:FAURIA, CHRISTINA (FNP)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:FAURIA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9608 KNIGHT RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77045-1210
Mailing Address - Country:US
Mailing Address - Phone:832-704-7927
Mailing Address - Fax:
Practice Address - Street 1:3200 RESEARCH FOREST DR STE A4
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-4084
Practice Address - Country:US
Practice Address - Phone:281-297-6305
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-11
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP132812363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily