Individual
DR. CECILIA MOSS ETHERIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10651 E ST, CORPUS CHRISTI, TX 78419-5130
(361) 961-4311
(361) 961-2529
Mailing address
2400 WINONA DR., PLANO, TX 75074
(972) 423-3484
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E8457
TX
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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