Provider Demographics
NPI:1952885626
Name:TREJO, CRISTINA (LVN)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:
Last Name:TREJO
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 MISTY LEA LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-1929
Mailing Address - Country:US
Mailing Address - Phone:281-466-9740
Mailing Address - Fax:
Practice Address - Street 1:707 MISTY LEA LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-1929
Practice Address - Country:US
Practice Address - Phone:281-466-9740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-19
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX227482164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse