Healthcare Provider Details

I. General information

NPI: 1053205864
Provider Name (Legal Business Name): CINTHIANE CYPRIEN PCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6508 STEEP CACTUS TRL
AUSTIN TX
78735-8365
US

IV. Provider business mailing address

12856 N HWY 183 STE B2027
AUSTIN TX
78750-3222
US

V. Phone/Fax

Practice location:
  • Phone: 737-781-5411
  • Fax:
Mailing address:
  • Phone: 737-781-5411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: