Cedar Creek Clinic

NPI 1134539000 - Clinic/Center - 261QP2300X

NPI Details
NPI 1134539000
Enumeration Date 05/01/2014
Last Updated 05/01/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name GRACE MICHELE GRACE
Position OFFICE MANAGER
Phone (903) 713-2000
Fax (903) 713-2004
Practice Location
2418 W MAIN ST
GUN BARREL CITY TX, 75156-3638, US
Phone (903) 713-2000
Fax (903) 713-2004
Business Location
2418 W MAIN ST
GUN BARREL CITY TX, 75156-3638, US
Phone (903) 713-2000
Fax (903) 713-2004
Toxanomy
Taxonomy Code 261QP2300X
License State Texas
License Number 636969
Remove 1134539000 NPI Number
 

According to our database, Cedar Creek Clinic NPI is 1134539000, taxonomy code is 261QP2300X and license number is 636969, license state is located at Texas. Cedar Creek Clinic physically located at 2418 W Main St, Gun Barrel City TX, 75156-3638. NPI Number 1033115704 has the healthcare provider type.

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1134539000 NPI number is provided on an as is basis without warranty of any kind. 1134539000 is maintained by the National Plan & Provider Enumeration System. The contents of Cedar Creek Clinic are for informational purposes only.