Healthcare Provider Details

I. General information

NPI: 1750336533
Provider Name (Legal Business Name): CYRIL B TAWA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24510 NORTHWEST FWY STE 380
CYPRESS TX
77429-2384
US

IV. Provider business mailing address

24510 NORTHWEST FWY STE 380
CYPRESS TX
77429-2384
US

V. Phone/Fax

Practice location:
  • Phone: 832-912-6777
  • Fax: 281-664-6424
Mailing address:
  • Phone: 832-912-6777
  • Fax: 281-664-6424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberH9164
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberH9164
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: