Individual
BRENT S CARDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
345 CYPRESS CREEK RD, STE 104, CEDAR PARK, TX 78613-4406
(512) 336-2777
(512) 336-2778
Mailing address
PO BOX 15690, DEPT 923, BELFAST, ME 04915-4051
(512) 336-2777
(512) 336-2778
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L2169
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8S5300
BCBS PIN
TX
Enumeration date
12/29/2005
Last updated
03/30/2016
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