Provider Demographics
NPI:1164206959
Name:HIDALGO, CHRISTINA SUE (LMSW)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:SUE
Last Name:HIDALGO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1108 OBLIQUE DR
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-4420
Mailing Address - Country:US
Mailing Address - Phone:832-704-0650
Mailing Address - Fax:
Practice Address - Street 1:1108 OBLIQUE DR
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-4420
Practice Address - Country:US
Practice Address - Phone:832-704-0650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106170104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker