Provider Demographics
NPI:1285727099
Name:ADAMS, CEDRIC CORDELL (MD)
Entity type:Individual
Prefix:
First Name:CEDRIC
Middle Name:CORDELL
Last Name:ADAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3600 GASTON AVE
Mailing Address - Street 2:STE 858
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246
Mailing Address - Country:US
Mailing Address - Phone:214-826-7231
Mailing Address - Fax:214-826-7984
Practice Address - Street 1:712 N WASHINGTON AVE STE 415
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1634
Practice Address - Country:US
Practice Address - Phone:214-826-7231
Practice Address - Fax:214-826-7984
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2024-08-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH2202207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology