Provider Demographics
NPI:1578366282
Name:CYPREXHEALTH LLC
Entity type:Organization
Organization Name:CYPREXHEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CYPRINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MANDUKU
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:832-428-3007
Mailing Address - Street 1:8723 AUBURN GLEN LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-4699
Mailing Address - Country:US
Mailing Address - Phone:832-428-3007
Mailing Address - Fax:
Practice Address - Street 1:8723 AUBURN GLEN LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-4699
Practice Address - Country:US
Practice Address - Phone:832-428-3007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Multi-Specialty