Healthcare Provider Details

I. General information

NPI: 1578994059
Provider Name (Legal Business Name): CINDY SUTTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CINDY SUTTON RNC, MS

II. Dates (important events)

Enumeration Date: 12/09/2013
Last Update Date: 12/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3407 CRYSTAL CREEK CT
SUGAR LAND TX
77478-4039
US

IV. Provider business mailing address

3120 BUFFALO SPEEDWAY STE 150
HOUSTON TX
77098-1806
US

V. Phone/Fax

Practice location:
  • Phone: 713-431-7060
  • Fax:
Mailing address:
  • Phone: 713-431-7060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0106X
TaxonomyOccupational Health Registered Nurse
License Number449426
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: