Provider Demographics
NPI:1710321732
Name:COYNE, CYNTHIA DONNA (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:DONNA
Last Name:COYNE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CYNTHIA
Other - Middle Name:GRACIELA
Other - Last Name:DONNA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1007 E 41ST ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78751-4809
Mailing Address - Country:US
Mailing Address - Phone:512-451-3131
Mailing Address - Fax:512-453-1300
Practice Address - Street 1:1007 E 41ST ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78751-4809
Practice Address - Country:US
Practice Address - Phone:512-451-3131
Practice Address - Fax:512-453-1300
Is Sole Proprietor?:No
Enumeration Date:2013-04-21
Last Update Date:2019-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR3066207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX378498502Medicaid