Healthcare Provider Details

I. General information

NPI: 1285190678
Provider Name (Legal Business Name): CYNTHIA A. SOMMER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2019
Last Update Date: 12/07/2025
Certification Date: 12/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 N SAINT PAUL ST STE 3100
DALLAS TX
75201-3923
US

IV. Provider business mailing address

325 N SAINT PAUL ST STE 3100
DALLAS TX
75201-3923
US

V. Phone/Fax

Practice location:
  • Phone: 888-731-8994
  • Fax: 817-921-3708
Mailing address:
  • Phone: 888-731-8994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP140547
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: