Individual
CECIL CEDRIC BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1121 N JOE WILSON RD, CEDAR HILL, TX 75104-1430
(972) 299-0003
(972) 299-0004
Mailing address
1121 N JOE WILSON RD, CEDAR HILL, TX 75104-1430
(972) 299-0003
(972) 299-0004
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L0008
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030731601
—
TX
05
—
030731604
—
TX
05
—
030731605
—
TX
01
—
P00063559
RAILROAD MEDICARE
TX
Enumeration date
05/17/2006
Last updated
02/28/2017
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