Organization
CEDAR CREEK HEALTHCARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOI SY (DOCTOR)
(903) 887-6155
Entity
Organization
Contact information
Practice address
1833 W MAIN ST, GUN BARREL CITY, TX 75156-4401
(903) 887-6155
(903) 887-6755
Mailing address
1833 W MAIN ST, GUN BARREL CITY, TX 75156-4401
(903) 887-6155
(903) 887-6755
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8867
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0049PC
BCBS
TX
01
—
8X0010
BCBS
TX
Enumeration date
10/26/2006
Last updated
08/22/2020
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