Provider Demographics
NPI:1518152040
Name:CYNTHIA L. BUREAU, MD, PA
Entity Type:Organization
Organization Name:CYNTHIA L. BUREAU, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BUREAU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-427-0019
Mailing Address - Street 1:4301 GARTH RD.
Mailing Address - Street 2:SUITE 202
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-3157
Mailing Address - Country:US
Mailing Address - Phone:281-427-0019
Mailing Address - Fax:281-427-0531
Practice Address - Street 1:4301 GARTH RD.
Practice Address - Street 2:SUITE 202
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3157
Practice Address - Country:US
Practice Address - Phone:281-427-0019
Practice Address - Fax:281-427-0531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-07
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty