Organization
CEDAR RIDGE FAMILY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANA E BAXTER RN, MSN, CFNP (PRESIDENT)
(972) 298-6174
Entity
Organization
Contact information
Practice address
222 S CEDAR RIDGE DR, DUNCANVILLE, TX 75116-4529
(972) 298-6174
(972) 709-1570
Mailing address
222 S CEDAR RIDGE DR, DUNCANVILLE, TX 75116-4529
(972) 298-6174
(972) 709-1570
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
666524
TX
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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