Provider Demographics
NPI:1790647196
Name:KE, CYRUS SHENGCHU
Entity type:Individual
Prefix:
First Name:CYRUS
Middle Name:SHENGCHU
Last Name:KE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11703 FINNICK BEND LN
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77377-2632
Mailing Address - Country:US
Mailing Address - Phone:281-256-5077
Mailing Address - Fax:
Practice Address - Street 1:11703 FINNICK BEND LN
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77377-2632
Practice Address - Country:US
Practice Address - Phone:281-256-5077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-25
Last Update Date:2025-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1198122163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse