Basic Information
| Provider Information | |||||||||
| NPI: | 1366648701 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LONIDIER | ||||||||
| FirstName: | CYNTHIA | ||||||||
| MiddleName: | PEREZ | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | APRN, BC, MSN, ENP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11603 SEBASTIANS RUN | ||||||||
| Address2: | |||||||||
| City: | MONTGOMERY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 773162789 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9365880432 | ||||||||
| FaxNumber: | 9365880432 | ||||||||
| Practice Location | |||||||||
| Address1: | 1635 NORTH LOOP WEST | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 77008 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7138672000 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/22/2007 | ||||||||
| LastUpdateDate: | 06/30/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 06/30/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | 669250 | TX | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 363L00000X | AP115903 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.