Provider Demographics
NPI:1811358732
Name:SARYBASHOVA, TYNARA (APRN, FNP)
Entity type:Individual
Prefix:
First Name:TYNARA
Middle Name:
Last Name:SARYBASHOVA
Suffix:
Gender:F
Credentials:APRN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27700 NORTHWEST FWY STE 600
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-7218
Mailing Address - Country:US
Mailing Address - Phone:346-231-6750
Mailing Address - Fax:
Practice Address - Street 1:27700 NORTHWEST FWY STE 600
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-7218
Practice Address - Country:US
Practice Address - Phone:346-231-6750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-20
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN 002145363LF0000X
TX1099594363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily