Provider Demographics
NPI:1134396146
Name:CINDY BRYANT, D.C, P.A.
Entity type:Organization
Organization Name:CINDY BRYANT, D.C, P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:BRYANT
Authorized Official - Last Name:TOVAR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-335-9011
Mailing Address - Street 1:1018 HERCULES AVE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-2722
Mailing Address - Country:US
Mailing Address - Phone:281-335-9011
Mailing Address - Fax:281-335-9022
Practice Address - Street 1:1018 HERCULES AVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-2722
Practice Address - Country:US
Practice Address - Phone:281-335-9011
Practice Address - Fax:281-335-9022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-09
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9145111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX606384OtherBLUE CROSS/ BLUE SHIELD #
TXU90770Medicare UPIN