Basic Information
Provider Information
NPI: 1649489725
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DODARD
FirstName: CINDY
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9700 BISSONNET ST STE 1000W
Address2:  
City: HOUSTON
State: TX
PostalCode: 770368001
CountryCode: US
TelephoneNumber: 8328281005
FaxNumber: 8328258740
Practice Location
Address1: 9700 BISSONNET ST STE 1000W
Address2:  
City: HOUSTON
State: TX
PostalCode: 770368001
CountryCode: US
TelephoneNumber: 8328281005
FaxNumber: 8328258740
Other Information
ProviderEnumerationDate: 05/22/2007
LastUpdateDate: 04/25/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/25/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207VH0002XBP1-00277126TXN Allopathic & Osteopathic PhysiciansObstetrics & GynecologyHospice and Palliative Medicine
207VX0000XR2084TXN Allopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
207V00000XR2084TXY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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