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Organization
CEDAR WOODS INT'L HEALTH CARE, INC.
Active
Organization
CEDAR WOODS INT'L HEALTH CARE, INC.
Active
Other names
Epiphany Home Visiting Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
LITA S. DEJESUS (SECRETARY)
(214) 725-9559
Entity
Organization
Contact information
Practice address
505 EXCHANGE PKWY APT 2304, ALLEN, TX 75002-1752
(214) 725-9559
Mailing address
505 EXCHANGE PKWY, #2304, ALLEN, TX 75002-1752
(214) 725-9559
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
303363
PTAN
TX
Enumeration date
06/03/2013
Last updated
09/26/2013
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