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NPI Code Detail

MEDICARE: CEDAR PARK EMERGENCY PHYSICIANS, PLLC

MEDICARE: CEDAR PARK EMERGENCY PHYSICIANS, PLLC
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
1261QE0002XEmergency Care Clinic/Center160095TX

General Provider Information

NPI Number : 1073923058
Entity Type Code : Organization
Provider Name (Legal Business Name) : CEDAR PARK EMERGENCY PHYSICIANS, PLLC
Provider Business Mailing Address
First Line : PO BOX 678276
Second Line :
City : DALLAS
State : TX
Zip : 75267-8276
Country : US
Telephone Number : 512-983-1561
Fax Number : 512-260-2738
Provider Business Practice Location Address
First Line : 3620 E WHITESTONE BLVD
Second Line :
City : CEDAR PARK
State : TX
Zip : 78613-7441
Country : US
Telephone Number : 512-260-2732
Fax Number : 512-260-2738
Authorized Official
Title or Position : OWNER/CEO
Name : DR. HENRY L HIGGINS
Credential : M.D.
Telephone Number : 512-983-1561
Provider Enumeration Date : 04/30/2014
Last Update Date : 07/16/2019

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