Cedar Bayou Medical Clinic, LLC

NPI #1992027544 in Baytown, Texas

Provider Information

NPI Number: 1992027544
Entity Type: Organization
Organization Name: Cedar Bayou Medical Clinic, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: CONTINUUM CLINICAL SERVICES, LLC
Primary Specialty: Family Medicine
Enumeration Date: Feb 24, 2010
Last Updated: Feb 24, 2010

Practice Location

Address: 2001 CEDAR BAYOU RD
City: Baytown
State: Texas
ZIP Code: 77520-3724
Phone: (281) 420-6900

Authorized Official

Name: WILLIAM B ROUSE
Title: CHIEF FINANCIAL OFFICER
Phone: (615) 376-6200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Psychologist - Clinical — Clinical	103TC0700X
Social Worker - Clinical — Clinical	1041C0700X
Marriage & Family Therapist	106H00000X
Internal Medicine	207R00000X
Physician Assistant - Medical — Medical	363AM0700X
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X	Primary

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