Organization Name: | DAN K. EIDMAN, MDPA |
NPI Number: | 1063777449 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAN EIDMAN (CEO) |
Mailing Address: | 6624 Fannin St Ste 1510 6624 Fannin, Ste 1510 Houston |
State: | TX US |
Postal Code: | 770302393 |
Phone Number: | 7137968595 |
Fax Number: | 7137960813 |
NPI Enumeration Date: | 07/11/2012 |
NPI Last Update Date: | 07/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | E4316 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |