Provider Demographics
NPI:1629082649
Name:SPRINGS, CYNTHIA ROBIN (CRNA)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:ROBIN
Last Name:SPRINGS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4100 INTERNATIONAL PLZ STE 600
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76109-4823
Mailing Address - Country:US
Mailing Address - Phone:817-334-0530
Mailing Address - Fax:817-334-0350
Practice Address - Street 1:4100 INTERNATIONAL PLZ STE 600
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76109-4823
Practice Address - Country:US
Practice Address - Phone:817-334-0530
Practice Address - Fax:817-334-0350
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX601541367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX151350904Medicaid
TX151350904Medicaid