Provider Demographics
NPI:1851890388
Name:GAIENNIE, CYRIL COMPTON III (DNP)
Entity Type:Individual
Prefix:DR
First Name:CYRIL
Middle Name:COMPTON
Last Name:GAIENNIE
Suffix:III
Gender:M
Credentials:DNP
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Mailing Address - Street 1:10528 CULEBRA RD STE 104
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-3659
Mailing Address - Country:US
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Mailing Address - Fax:
Practice Address - Street 1:16620 N US HIGHWAY 281 STE 300
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-2679
Practice Address - Country:US
Practice Address - Phone:210-309-1405
Practice Address - Fax:210-688-4596
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-11
Last Update Date:2019-05-16
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Provider Licenses
StateLicense IDTaxonomies
TXAP136490363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily