Provider Demographics
NPI:1518161108
Name:SCOTT-PRAISOODY, CYNTHIA CHRISTINA (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:CHRISTINA
Last Name:SCOTT-PRAISOODY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CYNTHIA
Other - Middle Name:CHRISTINA
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2211 SAN MIGUEL DR
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-5918
Mailing Address - Country:US
Mailing Address - Phone:281-648-4900
Mailing Address - Fax:281-648-4437
Practice Address - Street 1:1111 S FRIENDSWOOD DR STE 103
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-5095
Practice Address - Country:US
Practice Address - Phone:281-648-4900
Practice Address - Fax:281-648-4437
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN0446207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
1649326695OtherPA GROUP NPI