Individual
CYNTHIA INGE WASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
12221 N MOPAC EXPY, AUSTIN, TX 78758-2401
(512) 901-4014
(512) 901-3914
Mailing address
12221 N MOPAC EXPY, AUSTIN, TX 78758-2401
(512) 901-4014
(512) 901-3914
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5165TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210746801
—
TX
05
—
U5854
—
TX
Enumeration date
09/16/2006
Last updated
02/10/2022
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