Organization
CERVANTES HEALTHCARE, LLLP
Active
Other names
Cecilia M. Cervantes, MD, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CECILIA MARINA CERVANTES M.D. (MEDICAL DIRECTOR)
(512) 636-6119
Entity
Organization
Contact information
Practice address
5114 BALCONES WOODS DR, SUITE 307-347, AUSTIN, TX 78759-5273
(512) 466-2621
(888) 550-6132
Mailing address
5114 BALCONES WOODS DR, SUITE 307-347, AUSTIN, TX 78759-5273
(512) 466-2621
(888) 550-6132
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
J1631
TX
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0029EN
BLUE CROSS PROVIDER #
TX
01
—
1114022753
NPI - DR. CECILIA M. CERVANTES
—
05
—
124383405
—
TX
Enumeration date
03/26/2007
Last updated
06/20/2018
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