Healthcare Provider Details

I. General information

NPI: 1134819451
Provider Name (Legal Business Name): CHRISTIN SAJAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2023
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 S FRY RD STE 350
KATY TX
77450-2258
US

IV. Provider business mailing address

707 S FRY RD STE 350
KATY TX
77450-2258
US

V. Phone/Fax

Practice location:
  • Phone: 713-636-2621
  • Fax:
Mailing address:
  • Phone: 713-636-2621
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA20214
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: