Provider Demographics
NPI:1760439475
Name:TAYS, CYNTHIA (DC, DABCO)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:TAYS
Suffix:
Gender:F
Credentials:DC, DABCO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8200 N MOPAC EXPY
Mailing Address - Street 2:STE # 295
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-8849
Mailing Address - Country:US
Mailing Address - Phone:512-794-6300
Mailing Address - Fax:
Practice Address - Street 1:8200 N MOPAC EXPY
Practice Address - Street 2:STE # 295
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-8849
Practice Address - Country:US
Practice Address - Phone:512-794-6300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-28
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2990111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX601250Medicare ID - Type Unspecified