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NPI Code Detail

MEDICARE: PERLA YURIDIA CEDILLO FNP-C

MEDICARE: PERLA YURIDIA CEDILLO FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP141578TX

General Provider Information

NPI Number : 1235781089
Entity Type Code : Individual
Provider Name (Legal Business Name) : PERLA YURIDIA CEDILLO FNP-C
Provider Business Mailing Address
First Line : 9205 EAGLE DR STE 200
Second Line :
City : MONT BELVIEU
State : TX
Zip : 77523-5620
Country : US
Telephone Number : 832-307-7924
Fax Number : 832-307-7957
Provider Business Practice Location Address
First Line : 9205 EAGLE DR STE 200
Second Line :
City : MONT BELVIEU
State : TX
Zip : 77523-5620
Country : US
Telephone Number : 832-307-7924
Fax Number : 832-307-7957
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2019
Last Update Date : 01/23/2021

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Directions to “ PERLA YURIDIA CEDILLO FNP-C” Practice Location

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