Cervantes, Cecilia Marina
Cervantes, Cecilia Marina is an sole proprietor health care provider with primary practice located at 5114 Balcones Woods Dr Suite 307-347, Austin TX 78759-5273. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Cervantes, Cecilia Marina can be contacted via phone (512) 466-2621.Contact Information
Primary practice address
5114 Balcones Woods Dr Suite 307-347
Austin TX 78759-5273
Phone: (512) 466-2621
Fax: (888) 550-6132
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 2083P0011X | 26062004 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | J1631 | Texas |
Profile Details
| NPI number | 1114022753 |
|---|---|
| LBN Legal business name | Cervantes, Cecilia Marina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Aug 31st, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114022753 | NPPES |
| Texas | Other | 6127379 | CIGNA PROVIDER NUMBER |
| Texas | MEDICAID | 124383405 | CIGNA PROVIDER NUMBER |
| Texas | Other | 8AJ946 | CIGNA PROVIDER NUMBER |
| Texas | Other | 0029EN | CIGNA PROVIDER NUMBER |
| Texas | Other | 80-0881204 | CIGNA PROVIDER NUMBER |
| Texas | Other | 4299864 | CIGNA PROVIDER NUMBER |
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