MEDICARE: CEDAR HEALTH CARE

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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1619293065
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CEDAR HEALTH CARE

Provider Business Mailing Address
First Line	:	10333 HARWIN DR STE 595
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-1542
Country	:	US
Telephone Number	:	832-746-4630
Fax Number	:	713-777-0553

Provider Business Practice Location Address
First Line	:	10333 HARWIN DR STE 595
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-1542
Country	:	US
Telephone Number	:	832-746-4630
Fax Number	:	713-777-0553

Authorized Official
Title or Position	:	MANAGING DIRECTOR
Name	:	MR. LAZARUS UDENWAGU
Credential	:
Telephone Number	:	832-746-4630

Provider Enumeration Date	:	04/09/2010
Last Update Date	:	04/09/2010

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Directions to “CEDAR HEALTH CARE ” Practice Location

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