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NPI Code Detail

MEDICARE: CESAR CONTRERAS

MEDICARE: CESAR CONTRERAS
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
1251E00000XHome Health Agency009729TX

General Provider Information

NPI Number : 1568646578
Entity Type Code : Organization
Provider Name (Legal Business Name) : CESAR CONTRERAS
Provider Business Mailing Address
First Line : 2248 GUS THOMASSON RD
Second Line :
City : DALLAS
State : TX
Zip : 75228-3003
Country : US
Telephone Number : 214-823-9960
Fax Number : 214-823-6832
Provider Business Practice Location Address
First Line : 2248 GUS THOMASSON RD
Second Line :
City : DALLAS
State : TX
Zip : 75228-3003
Country : US
Telephone Number : 214-823-9960
Fax Number : 214-823-6832
Authorized Official
Title or Position : OWNER
Name : MR. CESAR CONTRERAS
Credential :
Telephone Number : 214-823-9960
Provider Enumeration Date : 12/27/2007
Last Update Date : 12/27/2007

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Directions to “CESAR CONTRERAS ” Practice Location

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