Provider Demographics
NPI:1942651658
Name:CYFAIR HEALTHCARE LLC
Entity Type:Organization
Organization Name:CYFAIR HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:281-890-0338
Mailing Address - Street 1:11119 MCCRACKEN CIR
Mailing Address - Street 2:SUITE D
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-4488
Mailing Address - Country:US
Mailing Address - Phone:281-890-0338
Mailing Address - Fax:832-518-5258
Practice Address - Street 1:11119 MCCRACKEN CIR
Practice Address - Street 2:SUITE D
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-4488
Practice Address - Country:US
Practice Address - Phone:281-890-0338
Practice Address - Fax:832-518-5258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-23
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health