Provider Demographics
NPI:1760037527
Name:CARRANZA, CINDY LEE (RPH)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:LEE
Last Name:CARRANZA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2420 N BOURQUE CT
Mailing Address - Street 2:
Mailing Address - City:NEDERLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77627-6351
Mailing Address - Country:US
Mailing Address - Phone:409-338-6068
Mailing Address - Fax:
Practice Address - Street 1:6001 39TH ST
Practice Address - Street 2:
Practice Address - City:GROVES
Practice Address - State:TX
Practice Address - Zip Code:77619-4651
Practice Address - Country:US
Practice Address - Phone:409-962-4432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-07
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30433183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist