| Organization Name: | CEDAR PARK EMERGENCY PHYSICIANS, PLLC |
| NPI Number: | 1073923058 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HENRY L HIGGINS (OWNER/CEO) |
| Mailing Address: | 3620 E Whitestone Blvd Cedar Park |
| State: | TX US |
| Postal Code: | 786137441 |
| Phone Number: | 5122602732 |
| Fax Number: | 5122602738 |
| NPI Enumeration Date: | 04/30/2014 |
| NPI Last Update Date: | 04/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0002X |
| License Number: | 160095 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Emergency Care |
| Taxonomy Definition: | |