Provider Demographics
NPI:1699380352
Name:CRUZ, BELMA HINOJASA (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:BELMA
Middle Name:HINOJASA
Last Name:CRUZ
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2660
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77404-2660
Mailing Address - Country:US
Mailing Address - Phone:979-323-9752
Mailing Address - Fax:979-323-9757
Practice Address - Street 1:2205 AVENUE K
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:TX
Practice Address - Zip Code:77414-5128
Practice Address - Country:US
Practice Address - Phone:979-323-9752
Practice Address - Fax:979-323-9757
Is Sole Proprietor?:No
Enumeration Date:2020-09-10
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1009211363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX420803501Medicaid