MEDICARE: KRISTINE-GEM D ESTRELLA PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant

General Provider Information

NPI Number	:	1659961738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTINE-GEM D ESTRELLA PA-C

Provider Business Mailing Address
First Line	:	9900 N CENTRAL EXPY STE 500
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-0928
Country	:	US
Telephone Number	:	214-987-3376
Fax Number	:	469-532-0273

Provider Business Practice Location Address
First Line	:	400 N STEPHANIE ST STE 400
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-6692
Country	:	US
Telephone Number	:	702-933-0225
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2021
Last Update Date	:	05/12/2026

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Directions to “ KRISTINE-GEM D ESTRELLA PA-C” Practice Location

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