MEDICARE: CYNTHIA DE LOS SANTOS LMFT-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	106H00000X	Marriage & Family Therapist	200977	TX

General Provider Information

NPI Number	:	1871607960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA DE LOS SANTOS LMFT-A

Provider Business Mailing Address
First Line	:	1100 NASA PKWY
Second Line	:	SUITE 110
City	:	HOUSTON
State	:	TX
Zip	:	77058-3325
Country	:	US
Telephone Number	:	281-317-7237
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 NASA PKWY
Second Line	:	SUITE 110
City	:	HOUSTON
State	:	TX
Zip	:	77058-3325
Country	:	US
Telephone Number	:	281-317-7237
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	03/24/2026

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