Individual
CYNTHIA PODNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNFA
Contact information
Practice address
7777 FOREST LN, SUITE C-700, DALLAS, TX 75230-2505
(972) 566-6464
(972) 566-6279
Mailing address
7777 FOREST LN, SUITE C-700, DALLAS, TX 75230-2571
(972) 566-6464
(972) 566-6279
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
577885
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041578801
—
TX
01
—
86N835
BC/BS PROVIDER NUMBER
TX
Enumeration date
05/17/2006
Last updated
02/16/2017
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