Provider Demographics
NPI:1437810561
Name:MFEBE, CYRIL (MBA,LNFA)
Entity Type:Individual
Prefix:
First Name:CYRIL
Middle Name:
Last Name:MFEBE
Suffix:
Gender:M
Credentials:MBA,LNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 CHAMBERLAIN DR
Mailing Address - Street 2:
Mailing Address - City:FATE
Mailing Address - State:TX
Mailing Address - Zip Code:75189-4935
Mailing Address - Country:US
Mailing Address - Phone:214-564-8546
Mailing Address - Fax:
Practice Address - Street 1:215 CHAMBERLAIN DR
Practice Address - Street 2:
Practice Address - City:FATE
Practice Address - State:TX
Practice Address - Zip Code:75189-4935
Practice Address - Country:US
Practice Address - Phone:214-564-8546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-30
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11040376G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376G00000XNursing Service Related ProvidersNursing Home Administrator