Provider Demographics
NPI:1376182550
Name:WARREN, CYNTHIA G
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:G
Last Name:WARREN
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 1:8926 EMERALD HEIGHTS LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-7701
Mailing Address - Country:US
Mailing Address - Phone:713-598-0011
Mailing Address - Fax:
Practice Address - Street 1:8926 EMERALD HEIGHTS LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-7701
Practice Address - Country:US
Practice Address - Phone:713-598-0011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-05
Last Update Date:2020-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care