Provider Demographics
NPI:1841321387
Name:MARSDEN, CINDI LOU (MD)
Entity type:Individual
Prefix:
First Name:CINDI
Middle Name:LOU
Last Name:MARSDEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 HWY 377 S
Mailing Address - Street 2:#102
Mailing Address - City:ARGYLE
Mailing Address - State:TX
Mailing Address - Zip Code:76226
Mailing Address - Country:US
Mailing Address - Phone:940-464-2263
Mailing Address - Fax:940-464-3538
Practice Address - Street 1:415 HWY 377 S
Practice Address - Street 2:#102
Practice Address - City:ARGYLE
Practice Address - State:TX
Practice Address - Zip Code:76226
Practice Address - Country:US
Practice Address - Phone:940-464-2263
Practice Address - Fax:940-464-3538
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH2563174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE77093Medicare UPIN