Provider Demographics
NPI:1194188920
Name:MAGANA, CRISTINA (NP-C)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:
Last Name:MAGANA
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8724 1ST ST
Mailing Address - Street 2:
Mailing Address - City:NEDERLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77627-8845
Mailing Address - Country:US
Mailing Address - Phone:281-865-2876
Mailing Address - Fax:
Practice Address - Street 1:4410 PINE LANDING DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-6717
Practice Address - Country:US
Practice Address - Phone:832-808-9100
Practice Address - Fax:832-516-8658
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-30
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP125376363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily