Provider Demographics
NPI:1952726119
Name:MORICE, CHRISTINA GUIJARRO (PA)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:GUIJARRO
Last Name:MORICE
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:6431 FANNIN ST
Mailing Address - Street 2:SUITE 5.232
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1501
Mailing Address - Country:US
Mailing Address - Phone:713-500-7300
Mailing Address - Fax:713-500-7296
Practice Address - Street 1:6410 FANNIN ST
Practice Address - Street 2:SUITE 950
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3000
Practice Address - Country:US
Practice Address - Phone:832-325-7323
Practice Address - Fax:713-512-2221
Is Sole Proprietor?:No
Enumeration Date:2014-02-25
Last Update Date:2018-02-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA08961363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPA08961OtherTMB
TXPATEMPOtherTMB