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Organization
MARK D EDEN MD PA
Active
Organization
MARK D EDEN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK D EDEN MD (OWNER)
(830) 997-9497
Entity
Organization
Contact information
Practice address
820 REUBEN ST STE B, FREDERICKSBURG, TX 78624-4583
(830) 997-9497
(830) 997-5677
Mailing address
820 REUBEN ST STE B, FREDERICKSBURG, TX 78624-4583
(830) 997-9497
(830) 997-5677
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H6187
TX
Other
Enumeration date
04/09/2014
Last updated
04/28/2014
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