Provider Demographics
NPI:1215751466
Name:OGALA, CHRISTIAN (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:
Last Name:OGALA
Suffix:
Gender:M
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2840 KELLER SPRINGS RD STE 801
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-4875
Mailing Address - Country:US
Mailing Address - Phone:469-579-8417
Mailing Address - Fax:
Practice Address - Street 1:2840 KELLER SPRINGS RD STE 801
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-4875
Practice Address - Country:US
Practice Address - Phone:469-579-8417
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-14
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1179574363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health