Provider Demographics
NPI:1811070436
Name:ASERON, CRISTINA R (MD)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:R
Last Name:ASERON
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 1:2944 MOTLEY DR STE 401
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-3464
Mailing Address - Country:US
Mailing Address - Phone:972-289-2273
Mailing Address - Fax:972-439-1776
Practice Address - Street 1:2944 MOTLEY DR STE 401
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-3464
Practice Address - Country:US
Practice Address - Phone:972-289-2273
Practice Address - Fax:972-439-1776
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK2180207R00000X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX096864602Medicaid
00720LMedicare PIN
TX096864602Medicaid