Provider Demographics
NPI:1881987162
Name:PENICK, CIMBERLY LYNN (DO, MBA)
Entity type:Individual
Prefix:DR
First Name:CIMBERLY
Middle Name:LYNN
Last Name:PENICK
Suffix:
Gender:F
Credentials:DO, MBA
Other - Prefix:DR
Other - First Name:CIMBERLY
Other - Middle Name:LYNN
Other - Last Name:CRAWFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO, MBA
Mailing Address - Street 1:10655 STEEPLETOP DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065
Mailing Address - Country:US
Mailing Address - Phone:281-517-9102
Mailing Address - Fax:
Practice Address - Street 1:10655 STEEPLETOP DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-4222
Practice Address - Country:US
Practice Address - Phone:281-517-9102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-19
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ2048207VX0000X
CA20A11697207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics