MEDICARE: CINDY BRYANT, D.C, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	9145	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	606384	OTHER	TX	BLUE CROSS/ BLUE SHIELD #

General Provider Information

NPI Number	:	1134396146
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CINDY BRYANT, D.C, P.A.

Provider Business Mailing Address
First Line	:	1018 HERCULES AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-2722
Country	:	US
Telephone Number	:	281-335-9011
Fax Number	:	281-335-9022

Provider Business Practice Location Address
First Line	:	1018 HERCULES AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-2722
Country	:	US
Telephone Number	:	281-335-9011
Fax Number	:	281-335-9022

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CINDY BRYANT TOVAR
Credential	:	D.C.
Telephone Number	:	281-335-9011

Provider Enumeration Date	:	05/09/2008
Last Update Date	:	05/09/2008

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