Individual
CRISTY NICOLE TAVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
130 RICK FRANCIS ST, EL PASO, TX 79905-2841
(915) 215-6040
Mailing address
130 RICK FRANCIS ST, EL PASO, TX 79905-2841
(915) 215-6040
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
1801681895
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
BP10094723
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
04/11/2025
Last updated
07/08/2025
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