Organization
CEDARWOOD SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEBUM YU (ADMINISTRATOR)
(214) 931-6133
Entity
Organization
Contact information
Practice address
920 S BELT LINE RD STE 250, COPPELL, TX 75019-4884
(972) 435-4070
Mailing address
3004 COMMUNICATIONS PKWY STE 200-322, PLANO, TX 75093-8909
(214) 390-7697
(972) 432-6692
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130657
TX ASC LICENSE
TX
Enumeration date
02/05/2024
Last updated
02/26/2025
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