Provider Demographics
NPI:1629044227
Name:MONROE, CYNTHIA LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:LYNN
Last Name:MONROE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:16620 SAN PEDRO AVE
Mailing Address - Street 2:STE 300
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-2327
Mailing Address - Country:US
Mailing Address - Phone:210-614-1231
Mailing Address - Fax:210-616-0704
Practice Address - Street 1:11481 TOEPPERWEIN RD
Practice Address - Street 2:STE 1202
Practice Address - City:LIVE OAK
Practice Address - State:TX
Practice Address - Zip Code:78233-3145
Practice Address - Country:US
Practice Address - Phone:210-655-8470
Practice Address - Fax:210-967-0276
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXL4066207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH61145Medicare UPIN
TX8344B6Medicare ID - Type Unspecified