Provider Demographics
NPI:1386696367
Name:STILES, CHRISTINE DANIELLE (DNP, GNP)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:DANIELLE
Last Name:STILES
Suffix:
Gender:
Credentials:DNP, GNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24275 KATY FWY STE 400
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-7267
Mailing Address - Country:US
Mailing Address - Phone:346-387-7171
Mailing Address - Fax:844-703-5305
Practice Address - Street 1:24275 KATY FWY STE 400
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-7267
Practice Address - Country:US
Practice Address - Phone:346-387-7171
Practice Address - Fax:844-703-5305
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP106292363LG0600X
TX456276363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX039565903Medicaid
TX848N89OtherBCBS
TXTXB120264Medicare PIN
TXS63167Medicare UPIN