MEDICARE: EDUARDO CEPEDA-DAVILA 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	207RP1001X	Pulmonary Disease Physician	E7847	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	:	1639177454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDUARDO CEPEDA-DAVILA MD

Provider Business Mailing Address
First Line	:	910 SAN PEDRO AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78212-4642
Country	:	US
Telephone Number	:	210-222-9575
Fax Number	:	210-222-9531

Provider Business Practice Location Address
First Line	:	910 SAN PEDRO AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78212-4642
Country	:	US
Telephone Number	:	210-222-9575
Fax Number	:	210-222-9531

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

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	09/10/2008

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