Organization
CEDAR CREEK PSYCHIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA HAYES NP (CEO)
(903) 262-8292
Entity
Organization
Contact information
Practice address
700 S PALESTINE ST, ATHENS, TX 75751-3325
(903) 262-8292
(903) 675-9577
Mailing address
PO BOX 118, EUSTACE, TX 75124-0118
(903) 262-8292
(903) 675-9577
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP100127
TX
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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