Provider Demographics
NPI:1912178567
Name:KULIK, CYNTHIA M (DO)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:M
Last Name:KULIK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5701 BRYANT IRVIN RD STE 201
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132-4026
Mailing Address - Country:US
Mailing Address - Phone:817-263-2500
Mailing Address - Fax:817-346-4006
Practice Address - Street 1:5701 BRYANT IRVIN RD STE 201
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-4026
Practice Address - Country:US
Practice Address - Phone:817-263-2500
Practice Address - Fax:817-346-4006
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-21
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXQ4169207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine