Healthcare Provider Details
I. General information
NPI: 1982803466
Provider Name (Legal Business Name): CYNTHIA ANN ENGLISH D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/13/2007
Last Update Date: 08/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6317 HARRIS PKWY STE 400
FORT WORTH TX
76132
US
IV. Provider business mailing address
P.O. BOX 961205
FORT WORTH TX
76161-1205
US
V. Phone/Fax
- Phone: 817-423-2002
- Fax: 817-423-2004
- Phone: 817-740-8400
- Fax: 817-423-2004
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | M6599 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: