Provider Demographics
NPI:1851113393
Name:CINDABARRELLA MEDICAL PLLC
Entity type:Organization
Organization Name:CINDABARRELLA MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BARRELLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-385-2607
Mailing Address - Street 1:11306 ANAQUA SPGS
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-8494
Mailing Address - Country:US
Mailing Address - Phone:210-385-2607
Mailing Address - Fax:
Practice Address - Street 1:11306 ANAQUA SPGS
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-8494
Practice Address - Country:US
Practice Address - Phone:210-385-2607
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty