Individual
DR. RAUL FERNANDO CEJUDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6606 LBJ FWY, DALLAS, TX 75240-6533
(972) 715-5000
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H3661
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00416W
—
TX
01
—
83890U
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/07/2006
Last updated
06/30/2020
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