Provider Demographics
NPI:1194941575
Name:CYPRIAN INC.,
Entity type:Organization
Organization Name:CYPRIAN INC.,
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CYPRIAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:AKAMNONU
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:972-262-5737
Mailing Address - Street 1:6109 S COOPER ST
Mailing Address - Street 2:STUITE 101
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76001-5631
Mailing Address - Country:US
Mailing Address - Phone:972-262-5737
Mailing Address - Fax:972-262-5768
Practice Address - Street 1:6109 S COOPER ST
Practice Address - Street 2:STUITE 101
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76001-5631
Practice Address - Country:US
Practice Address - Phone:972-262-5737
Practice Address - Fax:972-262-5768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX679225251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXHH194HOtherBLUE CROSS BLUE SHIELD
TX001015667Medicaid
TX001015692Medicaid
TX001013718Medicaid
TX001015692Medicaid