Individual
CRYSTAL FAITH CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 CHRIS KELLEY BLVD, HUTTO, TX 78634-5540
(512) 759-3980
(512) 276-6698
Mailing address
705 OAK BRANCH DR, GEORGETOWN, TX 78633-5630
(512) 417-8523
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
742176
TX
Other
Enumeration date
10/02/2013
Last updated
03/08/2017
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