Healthcare Provider Details

I. General information

NPI: 1376464123
Provider Name (Legal Business Name): CYNTHIA BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10611 BROWN BRIDGE CT
SUGAR LAND TX
77498-2082
US

IV. Provider business mailing address

10611 BROWN BRIDGE CT
SUGAR LAND TX
77498-2082
US

V. Phone/Fax

Practice location:
  • Phone: 281-323-1031
  • Fax:
Mailing address:
  • Phone: 281-323-1031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number260160538
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: