NPI | 1912025149 |
---|---|
Former Legal Business Name | CECILIA M. CERVANTES, MD, PA |
Entity Type | Organization |
Authorized Contact | CECILIA MARINA CERVANTES Medical Director 512-636-6119 |
Organization Subpart ? | No |
Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX J1631) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2018-06-20 |