Healthcare Provider Details

I. General information

NPI: 1215348248
Provider Name (Legal Business Name): CRISTINA E. PINAL D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2014
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 E CLIFF DR STE 3E
EL PASO TX
79902-4847
US

IV. Provider business mailing address

1250 E CLIFF DR STE 3E
EL PASO TX
79902-4847
US

V. Phone/Fax

Practice location:
  • Phone: 915-626-5548
  • Fax: 915-626-5411
Mailing address:
  • Phone: 915-626-5548
  • Fax: 915-626-5411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberBP10050809
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberA-2256-19
License Number StateNM
# 3
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberV1862
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: