Doctor Name: | CYNTHIA GORDON TANGUILIG-ROBINSON |
NPI Number: | 1124231584 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | L7577 |
Business Practice Address: | 12222 Merit Dr Ste 365 Dallas, TX - 752512233 |
Business Phone Number: | 8668956286 |
Business Fax Number: | |
Mailing Address: | 12222 Merit Dr Ste 365, DALLAS |
State: | TX |
Postal Code: | 752512233 |
Phone Number: | 8668956286 |
Fax Number: | |
NPI Enumeration Date: | 05/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | L7577 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |