Individual
CYNTHIA BANWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9601 JONES ROAD SUITE 238, HOUSTON, TX 77095
(281) 779-4718
Mailing address
3621 HORACE AVE, FORT WORTH, TX 76244
(817) 739-8034
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
PA16876
TX
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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