Healthcare Provider Details

I. General information

NPI: 1881336410
Provider Name (Legal Business Name): CYDNEE A PARRIS APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2022
Last Update Date: 04/13/2022
Certification Date: 04/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6565 FANNIN ST
HOUSTON TX
77030-2703
US

IV. Provider business mailing address

6445 MAIN ST STE 2600
HOUSTON TX
77030-1502
US

V. Phone/Fax

Practice location:
  • Phone: 713-790-3311
  • Fax:
Mailing address:
  • Phone: 713-441-5451
  • Fax: 713-799-9582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number1059227
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: