| Doctor Name: | PROF. CEDRIC BOYD |
| NPI Number: | 1295007128 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN, WCC |
| License Number: | 729752 |
| Business Practice Address: | 224 Sunset Dr. South Padre Island, TX - 78597 |
| Business Phone Number: | 9562991000 |
| Business Fax Number: | 9567720100 |
| Mailing Address: | Po Box 2623, SOUTH PADRE ISLAND |
| State: | TX |
| Postal Code: | 785972623 |
| Phone Number: | 9562991000 |
| Fax Number: | 9567720100 |
| NPI Enumeration Date: | 02/08/2012 |
| NPI Last Update Date: | 02/08/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | 729752 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |