| Cep America Llc | |
|
1000 Pine St Texarkana TX 75501-5100 | |
| (903) 798-8000 | |
| Not Available |
| Full Name | Cep America Llc |
|---|---|
| Speciality | Emergency Medicine |
| Location | 1000 Pine St, Texarkana, Texas |
| Authorized Official Name and Position | Theophile Koury (COO) |
| Authorized Official Contact | 5103502600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cep America Llc 2100 Powell St Ste 900 Emeryville CA 94608-1826 Ph: (510) 350-2600 | Cep America Llc 1000 Pine St Texarkana TX 75501-5100 Ph: (903) 798-8000 |
| NPI Number | 1891057618 |
|---|---|
| Provider Enumeration Date | 06/08/2012 |
| Last Update Date | 08/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891057618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | (* (Not Available)) | Primary |
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