| Doctor Name: | MRS. CRISTINA TREVINO CARRASCO |
| NPI Number: | 1669616843 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS., CCC/SLP |
| License Number: | 104133 |
| Business Practice Address: | 2101 E Griffin Pkwy Mission, TX - 785723228 |
| Business Phone Number: | 9564243733 |
| Business Fax Number: | 9564243734 |
| Mailing Address: | 3405 San Rafael, MISSION |
| State: | TX |
| Postal Code: | 785720523 |
| Phone Number: | 9564517697 |
| Fax Number: | |
| NPI Enumeration Date: | 05/01/2009 |
| NPI Last Update Date: | 09/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 104133 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |