Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Kristina Widjaja, PA-C

Individual provider Physician Assistant · NPI 1942319173

MS. Kristina Widjaja, PA-C is a Physician Assistant in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4500 S Lancaster Rd
Dallas, TX 75216-7167
Phone: (214) 857-2171
Fax: (214) 857-2166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA03752 (TX)

Record details

NPI number1942319173
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESJuly 8, 2007

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