Provider Demographics
NPI:1841852530
Name:SARRADET, CHARIS CHRISTIANA (PA-C)
Entity type:Individual
Prefix:
First Name:CHARIS
Middle Name:CHRISTIANA
Last Name:SARRADET
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:CHARIS
Other - Middle Name:CHRISTIANA
Other - Last Name:FERNANDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2624 KINGSRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-5836
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3060 COMMUNICATIONS PKWY STE 204
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8459
Practice Address - Country:US
Practice Address - Phone:972-312-8429
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-02
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA12862363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant