Cedar Medical Clinic

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

K7027 Issued in TX

Legal business name

CEDAR MEDICAL CLINIC

Practice address

2434 Cedar Dr
La Marque, TX 77568-3916

Phone

(409) 933-4414

NPI assigned

May 24, 2007

Last updated

Oct 5, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Walid H Hamoudi, M.D.NPI 1083797112

Title

Owner

Phone

(409) 933-4414

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Walid H Hamoudi, MD

  • General Practice Physician
  • La Marque, TX
  • NPI 1083797112
  NPD (past) Authorized official
• Patricia A Suarez, DDS, MS

  • General Practice Dentistry
  • La Marque, TX
  • NPI 1003983222
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1447461538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2434 CEDAR DR",
            "city": "LA MARQUE",
            "state": "TX",
            "postal_code": "775683916",
            "telephone_number": "409-933-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2434 CEDAR DR",
            "city": "LA MARQUE",
            "state": "TX",
            "postal_code": "775683916",
            "telephone_number": "409-933-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "HAMOUDI",
        "authorized_official_first_name": "WALID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-933-4414",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "K7027",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "K7027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taryn Leeann Britt
• Isoke Burnett, RN
• Brandi Burton
• Van Thuy Tuong Cao
• Joseph M Cavazos, DDS
• Cedarlake Dental Associates, Inc.
• Center for Primary Care Specialists, P.a.
• Change Agents of Social Services
• City of Lamarque (LaMarque Fire Rescue)
• Dallas Kennedy Collins

• General Practice Physician in La Marque, TX
• Providers in La Marque, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.