Provider Demographics
NPI:1487947800
Name:KUNTHARA, CINDU HENDRY (PA-C)
Entity type:Individual
Prefix:MRS
First Name:CINDU
Middle Name:HENDRY
Last Name:KUNTHARA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:CINDU
Other - Middle Name:
Other - Last Name:JOY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:22001 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-7003
Mailing Address - Country:US
Mailing Address - Phone:832-595-7700
Mailing Address - Fax:832-595-7720
Practice Address - Street 1:22001 SOUTHWEST FREEWAY
Practice Address - Street 2:SUITE 200
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-0000
Practice Address - Country:US
Practice Address - Phone:832-595-7700
Practice Address - Fax:832-595-7720
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-18
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant