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
—
—
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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