Organization
CEDAR PARK COVID TEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WES MARKUM (CEO)
(512) 608-3118
Entity
Organization
Contact information
Practice address
1120 COTTONWOOD CREEK TRL STE 180B, CEDAR PARK, TX 78613-6652
(512) 737-2662
Mailing address
2233 AMBUSH CYN, LEANDER, TX 78641-8893
(512) 608-3118
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/24/2020
Last updated
12/24/2020
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