| Cedarwood Health Pllc | |
|
19407 Little Pine Ln Katy TX 77449-4545 | |
| (832) 340-8362 | |
| Not Available |
| Full Name | Cedarwood Health Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 19407 Little Pine Ln, Katy, Texas |
| Authorized Official Name and Position | Mosunmola Ogunyinmi (OWNER) |
| Authorized Official Contact | 8323408362 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedarwood Health Pllc 19407 Little Pine Ln Katy TX 77449-4545 Ph: () - | Cedarwood Health Pllc 19407 Little Pine Ln Katy TX 77449-4545 Ph: (832) 340-8362 |
| NPI Number | 1841060316 |
|---|---|
| Provider Enumeration Date | 01/05/2024 |
| Last Update Date | 01/05/2024 |
| Certification Date | 01/05/2024 |
| Medicare PECOS PAC ID | 0042656415 |
|---|---|
| Medicare Enrollment ID | O20240307001620 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841060316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Mosunmola Ogunyinmi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205495165 PECOS PAC ID: 3375945454 Enrollment ID: I20240222003492 |
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