1699366401 NPI number — CEDAR CREEK NEUROLOGY, PLLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699366401 NPI number — CEDAR CREEK NEUROLOGY, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CEDAR CREEK NEUROLOGY, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1699366401
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/03/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8751 COLLIN MCKINNEY PARKWAY, SUITE 1102 #1009
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MCKINNEY
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75070
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-991-2292
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8751 COLLIN MCKINNEY PARKWAY, SUITE 1102 #1009
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MCKINNEY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75070
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-991-2292
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/03/2021

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SHINN
Authorized Official First Name:
DOREEN
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
972-991-2292

Provider Taxonomy Codes

  • Taxonomy code: 204R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)