Provider Demographics
NPI:1982968970
Name:MKHANTAR, CHRISTINA M (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:M
Last Name:MKHANTAR
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MRS
Other - First Name:CHRISTINA
Other - Middle Name:M
Other - Last Name:MKHANTAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:4242 MEDICAL DR
Mailing Address - Street 2:SUITE 6250
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229
Mailing Address - Country:US
Mailing Address - Phone:210-479-3297
Mailing Address - Fax:210-479-3295
Practice Address - Street 1:4242 MEDICAL DR
Practice Address - Street 2:SUITE 6250
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229
Practice Address - Country:US
Practice Address - Phone:210-479-3297
Practice Address - Fax:210-479-3295
Is Sole Proprietor?:No
Enumeration Date:2012-06-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF0512394363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily