Provider Demographics
NPI:1982702312
Name:MCNABB, CYNTHIA GWEN (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:GWEN
Last Name:MCNABB
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:321 W CRAIG PL
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-3308
Mailing Address - Country:US
Mailing Address - Phone:210-320-2055
Mailing Address - Fax:210-320-7700
Practice Address - Street 1:321 W CRAIG PL
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-3308
Practice Address - Country:US
Practice Address - Phone:210-320-2055
Practice Address - Fax:210-320-7700
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH76362084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry