Provider Demographics
NPI:1073799532
Name:MAGANA, CHRISTINA REYES (LVN)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:REYES
Last Name:MAGANA
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:
Other - Last Name:REYES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LVN
Mailing Address - Street 1:107 WILLOW DR
Mailing Address - Street 2:
Mailing Address - City:CASTROVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78009-5005
Mailing Address - Country:US
Mailing Address - Phone:830-931-9496
Mailing Address - Fax:830-426-3125
Practice Address - Street 1:107 WILLOW DR
Practice Address - Street 2:
Practice Address - City:CASTROVILLE
Practice Address - State:TX
Practice Address - Zip Code:78009-5005
Practice Address - Country:US
Practice Address - Phone:830-931-9496
Practice Address - Fax:830-426-3125
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-15
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX159879164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse