Healthcare Provider Details

I. General information

NPI: 1487030748
Provider Name (Legal Business Name): CYNTHIA HENG APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2015
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

93 CHERRY ST UNIT G1
NEW CANAAN CT
06840-5521
US

IV. Provider business mailing address

2664 GALLANT FOX DR
SCHERTZ TX
78108-2318
US

V. Phone/Fax

Practice location:
  • Phone: 726-268-7360
  • Fax: 833-929-3520
Mailing address:
  • Phone: 844-359-8363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number6192
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1211660
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: