Individual
EDEN CHRISTIAN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
6102 PRIVATE ROAD 6470, LUBBOCK, TX 79416-3351
(806) 789-4871
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0420017989
VT
208000000X
Pediatrics Physician
Primary
175086
FL
208000000X
Pediatrics Physician
CDR.0005149
CO
208000000X
Pediatrics Physician
TL8632
WY
208000000X
Pediatrics Physician
V6597
TX
Other
Enumeration date
04/23/2021
Last updated
09/29/2025
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