Provider Demographics
NPI:1285388108
Name:BANIGAN, CYNTHIA MAY (PA-C)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:MAY
Last Name:BANIGAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:MAY
Other - Last Name:SEWARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5550 WARREN PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-7399
Mailing Address - Country:US
Mailing Address - Phone:281-770-9477
Mailing Address - Fax:
Practice Address - Street 1:5550 WARREN PKWY STE 200
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-7399
Practice Address - Country:US
Practice Address - Phone:281-770-9477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-09
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA10746363A00000X
TXPA17439363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant