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Individual
DR. JOHN CHARLES EDLIN
Active
Individual
DR. JOHN CHARLES EDLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
207QA0000X
Adolescent Medicine (Family Medicine) Physician
E1307
TX
2080A0000X
Pediatric Adolescent Medicine Physician
E1307
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
886542
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/05/2006
Last updated
09/11/2025
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