Provider Demographics
NPI:1700438959
Name:KRINKEY, PRISCILLA JANNETH (OD)
Entity Type:Individual
Prefix:MISS
First Name:PRISCILLA
Middle Name:JANNETH
Last Name:KRINKEY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5920 CROMO DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-5526
Mailing Address - Country:US
Mailing Address - Phone:915-532-3697
Mailing Address - Fax:915-532-3506
Practice Address - Street 1:5920 CROMO DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-5526
Practice Address - Country:US
Practice Address - Phone:915-532-3697
Practice Address - Fax:915-532-3506
Is Sole Proprietor?:No
Enumeration Date:2019-07-09
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9883TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist