| Cedar Park Pediatric And Family Medicine | |
|
345 Cypress Creek Rd Suite 104 Cedar Park TX 78613-4483 | |
| (512) 336-2777 | |
| Not Available |
| Full Name | Cedar Park Pediatric And Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 345 Cypress Creek Rd, Cedar Park, Texas |
| Authorized Official Name and Position | Brent Cardwell (OFFICE MANAGER) |
| Authorized Official Contact | 5123362777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Park Pediatric And Family Medicine 345 Cypress Creek Rd Suite 104 Cedar Park TX 78613-4483 Ph: (512) 336-2777 | Cedar Park Pediatric And Family Medicine 345 Cypress Creek Rd Suite 104 Cedar Park TX 78613-4483 Ph: (512) 336-2777 |
| NPI Number | 1073644423 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 04/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073644423 | NPI | - | NPPES |
| 0068MS | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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