Provider Demographics
NPI:1902086903
Name:BAILEY-DELESBORE, CYNTHIA LEAH (WNP)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:LEAH
Last Name:BAILEY-DELESBORE
Suffix:
Gender:F
Credentials:WNP
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:LEAH
Other - Last Name:BAILEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:WNP
Mailing Address - Street 1:PO BOX 4780
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77210-4780
Mailing Address - Country:US
Mailing Address - Phone:713-873-3450
Mailing Address - Fax:713-798-1188
Practice Address - Street 1:1504 TAUB LOOP
Practice Address - Street 2:ATTN: GYN ONC
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1608
Practice Address - Country:US
Practice Address - Phone:713-873-6019
Practice Address - Fax:713-440-1270
Is Sole Proprietor?:No
Enumeration Date:2007-11-07
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX245313363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health