Individual
CYNTHIA MARIE ELIZABETH TABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9406 BELLECHASE RD, GRANBURY, TX 76049-4430
(214) 244-2949
Mailing address
9406 BELLECHASE RD, GRANBURY, TX 76049-4430
(214) 244-2949
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
K5711
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801828017
—
MO
05
—
200049234
—
MO
Enumeration date
07/07/2006
Last updated
07/20/2020
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