Provider Demographics
NPI:1134561244
Name:LIMA, MARIA CRISTINA FURTADO
Entity type:Individual
Prefix:
First Name:MARIA CRISTINA
Middle Name:FURTADO
Last Name:LIMA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1523 RAVENEL LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-6659
Mailing Address - Country:US
Mailing Address - Phone:423-341-7548
Mailing Address - Fax:
Practice Address - Street 1:3 SUGAR CREEK CENTER BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-2210
Practice Address - Country:US
Practice Address - Phone:423-341-7548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-18
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70776101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional