Provider Demographics
NPI:1689854069
Name:CYFAIR HAND AND WRIST SURGICAL ASSOCIATES PA
Entity Type:Organization
Organization Name:CYFAIR HAND AND WRIST SURGICAL ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:FIORE
Authorized Official - Suffix:II
Authorized Official - Credentials:M D
Authorized Official - Phone:281-970-8002
Mailing Address - Street 1:11307 FM 1960 RD W
Mailing Address - Street 2:SUITE 270
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-3687
Mailing Address - Country:US
Mailing Address - Phone:281-970-8002
Mailing Address - Fax:281-970-8770
Practice Address - Street 1:11307 FM 1960 RD W
Practice Address - Street 2:SUITE 270
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-3687
Practice Address - Country:US
Practice Address - Phone:281-970-8002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-14
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3544174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX191619901Medicaid
TX191619901Medicaid