Provider Demographics
NPI:1376099614
Name:NARVAEZ, CYNTHIA BERENICE
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:BERENICE
Last Name:NARVAEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11308 SW 5TH ST APT 6318
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-0243
Mailing Address - Country:US
Mailing Address - Phone:214-714-4947
Mailing Address - Fax:
Practice Address - Street 1:11308 SW 5TH ST. APT. 6318
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099
Practice Address - Country:US
Practice Address - Phone:214-714-4947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-28
Last Update Date:2016-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator