Provider Demographics
NPI:1801984133
Name:ARCE, CRISTINA MARIA (MD)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:MARIA
Last Name:ARCE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1505 LBJ FWY STE 700
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-6065
Mailing Address - Country:US
Mailing Address - Phone:214-358-2300
Mailing Address - Fax:
Practice Address - Street 1:13154 COIT RD STE 100
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-5787
Practice Address - Country:US
Practice Address - Phone:214-358-2300
Practice Address - Fax:214-579-6989
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ3634207RN0300X
OH35.121216207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXQ3634OtherMEDICAL LICENSE
OHPENDINGMedicaid
CAGA608ZMedicare PIN
OHPENDINGMedicare PIN