# CERVANTES HEALTHCARE, LLLP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cecilia M. Cervantes, MD, PA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912025149
- **Authorized official:** DR. CECILIA MARINA CERVANTES M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (512) 636-6119

## Contact information

- **Practice address:** 5114 BALCONES WOODS DR, SUITE 307-347, AUSTIN, TX 78759-5273
- **Practice address phone:** (512) 466-2621
- **Practice address fax:** (888) 550-6132
- **Mailing address:** 5114 BALCONES WOODS DR, SUITE 307-347, AUSTIN, TX 78759-5273
- **Mailing address phone:** (512) 466-2621
- **Mailing address fax:** (888) 550-6132

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | J1631 | TX | — |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | NULL | Yes |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 06/20/2018