Provider Demographics
NPI:1194931915
Name:BRIDGES, CHRISTIAN ALEXIS (MPAS, PA-C)
Entity type:Individual
Prefix:MRS
First Name:CHRISTIAN
Middle Name:ALEXIS
Last Name:BRIDGES
Suffix:
Gender:F
Credentials:MPAS, PA-C
Other - Prefix:MS
Other - First Name:CHRISTIAN
Other - Middle Name:ALEXIS
Other - Last Name:RAMSEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPAS, PA-C
Mailing Address - Street 1:1515 HOLCOMBE BLVD
Mailing Address - Street 2:UNIT 001
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4000
Mailing Address - Country:US
Mailing Address - Phone:713-192-6133
Mailing Address - Fax:713-792-4016
Practice Address - Street 1:1515 HOLCOMBE BLVD
Practice Address - Street 2:UNIT 001
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4000
Practice Address - Country:US
Practice Address - Phone:713-192-6133
Practice Address - Fax:713-792-4016
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA05130363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8Y1905OtherBLUE CROSS BLUE SHIELD
TX8L23668Medicare PIN