Individual
CHRISTIAN EDUARDO CAJAVILCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 COIT RD STE 104, PLANO, TX 75075-6171
(972) 566-5411
Mailing address
722 DUCHESS DR, ALLEN, TX 75013-3002
Taxonomy
Speciality
Code
Description
License number
State
2084V0102X
Vascular Neurology Physician
Primary
R5983
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2014
Last updated
06/28/2019
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