Provider Demographics
NPI:1235781089
Name:CEDILLO, PERLA YURIDIA (FNP-C)
Entity Type:Individual
Prefix:
First Name:PERLA
Middle Name:YURIDIA
Last Name:CEDILLO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9205 EAGLE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MONT BELVIEU
Mailing Address - State:TX
Mailing Address - Zip Code:77523-5620
Mailing Address - Country:US
Mailing Address - Phone:832-307-7924
Mailing Address - Fax:832-307-7957
Practice Address - Street 1:9205 EAGLE DR STE 200
Practice Address - Street 2:
Practice Address - City:MONT BELVIEU
Practice Address - State:TX
Practice Address - Zip Code:77523-5620
Practice Address - Country:US
Practice Address - Phone:832-307-7924
Practice Address - Fax:832-307-7957
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-11
Last Update Date:2021-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP141578363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty