# EDISON MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255465076
- **Authorized official:** MR. EDEDEM E EDEM (PRESIDENT)
- **Authorized official phone:** (832) 880-0445

## Contact information

- **Practice address:** 9894 BISSONNET ST, HOUSTON, TX 77036-8239
- **Practice address phone:** (832) 880-0445
- **Mailing address:** 9894 BISSONNET ST, HOUSTON, TX 77036-8239
- **Mailing address phone:** (832) 880-0445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0065659 | TX | Yes |

## Other

- **Enumeration date:** 03/15/2007
- **Last updated:** 08/22/2020