Healthcare Provider Details

I. General information

NPI: 1801977186
Provider Name (Legal Business Name): CYNTHIA PELZEL R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3304 COLORADO BLVD STE 101
DENTON TX
76210-6872
US

IV. Provider business mailing address

3304 COLORADO BLVD STE 102
DENTON TX
76210-6872
US

V. Phone/Fax

Practice location:
  • Phone: 940-387-6248
  • Fax: 940-381-1881
Mailing address:
  • Phone: 940-387-6248
  • Fax: 940-381-1881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number540979
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: