Individual
IAN N CYRIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1401 ST JOSEPH PKWY, HOUSTON, TX 77002-8301
(866) 488-0513
Mailing address
PO BOX 720188, MCALLEN, TX 78504-0188
(956) 664-9771
(956) 664-9773
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
701081
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
701081
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165741302
—
TX
01
—
85822U
BCBSTX
TX
Enumeration date
06/13/2006
Last updated
05/05/2011
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