Doctor profile · Federal record
Dr. Kristina Widjaja, PA-C
Physician Assistant · Dallas, TX
- NPI 1942319173
- 20 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4500 S Lancaster RD
Dallas, TX 752167167
(214) 857-2171
fax (214) 857-2166
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- July 8, 2007
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Texas #PA03752
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1942319173. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$153
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Inspire Medical Systems, INC. | 1 | $153.30 |
By nature of payment
Frequently asked questions
What is Dr. Kristina Widjaja's medical specialty?
Dr. Kristina Widjaja practices Physician Assistant in Dallas, TX.
Where does Dr. Kristina Widjaja practice?
Dr. Kristina Widjaja practices at 4500 S Lancaster RD, Dallas, TX 752167167. Office phone: 2148572171.
What is Dr. Kristina Widjaja's NPI?
Dr. Kristina Widjaja's National Provider Identifier (NPI) is 1942319173, issued by NPPES.