Provider Demographics
NPI:1972772028
Name:LEW, CYNTHIA Q (RNBSNCDE)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:Q
Last Name:LEW
Suffix:
Gender:F
Credentials:RNBSNCDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8810 HIGHWAY 6 STE 100
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-7104
Mailing Address - Country:US
Mailing Address - Phone:713-486-1200
Mailing Address - Fax:281-778-5345
Practice Address - Street 1:8810 HIGHWAY 6 STE 100
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459
Practice Address - Country:US
Practice Address - Phone:713-486-1200
Practice Address - Fax:281-778-5345
Is Sole Proprietor?:No
Enumeration Date:2008-02-22
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX620894163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator