Provider Demographics
NPI:1194929323
Name:CIRIOT, VIRGINIA A (PNP)
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:A
Last Name:CIRIOT
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:GINNY
Other - Middle Name:A
Other - Last Name:CIRIOT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PNP
Mailing Address - Street 1:PO BOX 733784
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-3784
Mailing Address - Country:US
Mailing Address - Phone:682-885-1855
Mailing Address - Fax:682-885-1396
Practice Address - Street 1:225 SE JOHN JONES DR
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-8341
Practice Address - Country:US
Practice Address - Phone:817-447-0445
Practice Address - Fax:817-447-2273
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX237102363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX286181702OtherCSHCN
TX286181701Medicaid
TX286181702OtherCSHCN