Provider Demographics
NPI:1619293065
Name:CEDAR HEALTH CARE
Entity Type:Organization
Organization Name:CEDAR HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LAZARUS
Authorized Official - Middle Name:
Authorized Official - Last Name:UDENWAGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-746-4630
Mailing Address - Street 1:10333 HARWIN DR STE 595
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-1542
Mailing Address - Country:US
Mailing Address - Phone:832-746-4630
Mailing Address - Fax:713-777-0553
Practice Address - Street 1:10333 HARWIN DR STE 595
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-1542
Practice Address - Country:US
Practice Address - Phone:832-746-4630
Practice Address - Fax:713-777-0553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-09
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health