Provider Demographics
NPI:1841032505
Name:DENNIS, MARIACRUZ
Entity type:Individual
Prefix:
First Name:MARIACRUZ
Middle Name:
Last Name:DENNIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARIACRUZ
Other - Middle Name:
Other - Last Name:BARRERA VAZQUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9701 RICHMOND AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-4622
Mailing Address - Country:US
Mailing Address - Phone:713-715-1234
Mailing Address - Fax:713-492-0684
Practice Address - Street 1:9701 RICHMOND AVE STE 220
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-4622
Practice Address - Country:US
Practice Address - Phone:713-715-1234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-12
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1153797363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily