CEDAR CREEK CLINIC LLC NPI 1134539000

NPI Information

  • NPI: 1134539000
  • Provider Name: CEDAR CREEK CLINIC, LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 45D2161302
  • Address: 2418 W MAIN ST
    GUN BARREL CITY, TX
    ZIP 75156
  • Phone: (903) 713-2000

Map and Directions

Get Directions

NPI Details

CEDAR CREEK CLINIC, LLC is a primary care clinic center in Gun Barrel City, TX. CEDAR CREEK CLINIC, LLC NPI is 1134539000. The provider is registered as an organization entity type.

The provider's business location address is:

2418 W MAIN ST
GUN BARREL CITY, TX
ZIP 75156-638
Phone: (903) 713-2000
Fax: (903) 713-2004

The provider's authorized official is Chelsea Rae Springer .
The authorized official title is Office Manager and has the following contact phone number (903) 713-2000.

The CLIA number assigned to this NPI record is 45D2161302 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/1/2014 and was last updated on 2/28/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care636969TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.