# CYNTHIA M.E. TABER, M.D., PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144617085
- **Authorized official:** CYNTHIA MARIE ELIZABETH TABER M.D. (OWNER)
- **Authorized official phone:** (817) 656-7778

## Contact information

- **Practice address:** 1400 8TH AVE, FT WORTH, TX 76104-4110
- **Practice address phone:** (817) 656-7778
- **Mailing address:** PO BOX 119, KELLER, TX 76244-0119
- **Mailing address phone:** (817) 656-7778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/17/2015
- **Last updated:** 04/17/2015
