Provider Demographics
NPI:1114185196
Name:CROSS, CARA MARIA (RN)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:MARIA
Last Name:CROSS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7930 STONE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:JUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:76247-4122
Mailing Address - Country:US
Mailing Address - Phone:972-523-0795
Mailing Address - Fax:
Practice Address - Street 1:7930 STONE RIDGE DR
Practice Address - Street 2:
Practice Address - City:JUSTIN
Practice Address - State:TX
Practice Address - Zip Code:76247-4122
Practice Address - Country:US
Practice Address - Phone:972-523-0795
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-27
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX638979163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse