Provider Demographics
NPI:1497731871
Name:MINGEA, CYNTHIA J (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:J
Last Name:MINGEA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 E 32ND ST STE 101
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-2529
Mailing Address - Country:US
Mailing Address - Phone:512-479-6655
Mailing Address - Fax:512-479-0906
Practice Address - Street 1:805 E 32ND ST STE 101
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705
Practice Address - Country:US
Practice Address - Phone:512-479-6656
Practice Address - Fax:512-479-0906
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG5388207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX180870102Medicaid
TX200488423OtherEIN
TX00B66WOtherBCBS
TXA99008Medicare UPIN
TXMEDICAIDMedicaid