M Ds Cyber Clinic Pa in Cedar Park - Clinic/center
M Ds Cyber Clinic Pa - NPI 1780612390
M Ds Cyber Clinic Pa is a Clinic/center in Cedar Park, Texas. M Ds Cyber Clinic Pa practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for M Ds Cyber Clinic Pa is 1780612390. The last update date is 2013-01-04.
M Ds Cyber Clinic Pa's current location address is 500 W Whitestone Blvd, Cedar Park, Texas. You can contact this provider via phone number 5122503900 and fax number 5122496232. The mailing address for M Ds Cyber Clinic Pa is 500 W Whitestone Blvd, Cedar Park, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | M Ds Cyber Clinic Pa |
|---|---|
| Address | 500 W Whitestone Blvd, Cedar Park, Texas |
| Phone Number | 5122503900 |
| Fax Number | 5122496232 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bogdanovich Bruce Michael |
| Credentials | MD |
| Telephone Number | 5122503900 |
NPI Number Detail
| NPI Number | 1780612390 |
|---|---|
| Provider Enumeration Date | 2006-06-30 |
| Last Updated Date | 2013-01-04 |
Provider Mailing Address Detail
| Address | 500 W Whitestone Blvd |
|---|---|
| City | Cedar Park |
| State | Texas (TX) |
| Post Code | 786132245 |
| Phone Number | 5122503900 |
| Fax Number | 5122496232 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | H6779 |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00769N | TX | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique identifier code issued to M Ds Cyber Clinic Pa by the Centers for Medicare & Medicaid Services (CMS)?
The M Ds Cyber Clinic Pa has been assigned the NPI (National Provider Identifier) 1780612390. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where M Ds Cyber Clinic Pa's facilities are situated?
The facilities of M Ds Cyber Clinic Pa are physically located at the following address: 500 W Whitestone Blvd, Cedar Park, TX, 786132245.
What is M Ds Cyber Clinic Pa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for M Ds Cyber Clinic Pa is Clinic/center, and the corresponding taxonomy classification code for this specialized field is 261Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1780612390 to M Ds Cyber Clinic Pa?
The Centers for Medicare & Medicaid Services assigned the 1780612390 to M Ds Cyber Clinic Pa on 2006-06-30.
As of what date were the details pertaining to M Ds Cyber Clinic Pa last refreshed?
The information related to the M Ds Cyber Clinic Pa, including its address, specialty, and other relevant details, was last updated on 2013-01-04.
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