MEDICARE: CEDRIC HALE SENTER MD

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	207Q00000X	Family Medicine Physician	L0929	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285613190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CEDRIC HALE SENTER MD

Provider Business Mailing Address
First Line	:	19200 SPACE CENTER BLVD
Second Line	:	APT 1111
City	:	HOUSTON
State	:	TX
Zip	:	77058-3736
Country	:	US
Telephone Number	:	281-480-8248
Fax Number	:

Provider Business Practice Location Address
First Line	:	2101 NASA PKWY
Second Line	:	SD2
City	:	HOUSTON
State	:	TX
Zip	:	77058-3607
Country	:	US
Telephone Number	:	281-483-2593
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2006
Last Update Date	:	07/08/2007

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