Provider Demographics
NPI:1528590288
Name:JOHN, CINI (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:CINI
Middle Name:
Last Name:JOHN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10219 WHITE OAK TRAIL LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-5100
Mailing Address - Country:US
Mailing Address - Phone:281-970-7484
Mailing Address - Fax:
Practice Address - Street 1:11810 FM1960 W.
Practice Address - Street 2:HC MEDICAL DOCTORS, PA
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065
Practice Address - Country:US
Practice Address - Phone:832-912-7111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-31
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP133459363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily