Healthcare Provider Details

I. General information

NPI: 1710447529
Provider Name (Legal Business Name): CRISTINA SOLA AGNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2019
Last Update Date: 03/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6400 FANNIN ST STE 2850
HOUSTON TX
77030-1540
US

IV. Provider business mailing address

10322 FELDMAN FLS
MISSOURI CITY TX
77459-2468
US

V. Phone/Fax

Practice location:
  • Phone: 713-486-5138
  • Fax: 713-512-7203
Mailing address:
  • Phone: 713-376-7868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP141000
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: